DAVID KEITH WALLIS NPI 1134685167

NPI Information

  • NPI: 1134685167
  • Provider Name: DAVID KEITH WALLIS
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 1400 E 12 MILE RD
    MADISON HEIGHTS, MI
    ZIP 48071
  • Phone: (248) 658-1116

Map and Directions

Get Directions

NPI Details

David Keith Wallis is a peer specialist in Madison Heights, 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. David Keith Wallis NPI is 1134685167. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1400 E 12 MILE RD
MADISON HEIGHTS, MI
ZIP 48071-651
Phone: (248) 658-1116
Fax: (248) 658-1120

The enumeration date for this NPI number is 2/14/2019 and was last updated on 2/14/2019.

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
1175T00000XPeer SpecialistMICHIGANYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI