ALANDIS DE'ERSULA EDMONDS NPI 1013603695

NPI Information

NPI: 1013603695
Provider Name: ALANDIS DE'ERSULA EDMONDS
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
5775 EMERALD SPRINGS CIR
DETROIT, MI
ZIP 48212
Phone: (313) 808-3232
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Alandis De'ersula Edmonds is a peer specialist in Detroit, MI. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Alandis De'ersula Edmonds NPI is 1013603695. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5775 EMERALD SPRINGS CIR
DETROIT, MI
ZIP 48212-927
Phone: (313) 808-3232

The enumeration date for this NPI number is 4/17/2023 and was last updated on 4/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist			MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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