MR. DERRIN DWAYNE DRAKE LMSW NPI 1427405703

NPI Information

NPI: 1427405703
Provider Name: MR. DERRIN DWAYNE DRAKE, LMSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Organization: COUNSELING CENTER OF WEST MICHIGAN LLC

PECOS Registration: Yes

Address:
300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548
Phone: (616) 455-5000
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MR. Derrin Dwayne Drake, LMSW is a mental health counselor in Grand Rapids, MI with 18 years of experience. MR. Derrin Dwayne Drake, LMSW NPI is 1427405703. 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:

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548-927
Phone: (616) 455-5000
Fax: (616) 281-6357

The NPI 1427405703 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/17/2016 and was last updated on 5/17/2016.

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	101YM0800X	Counselor	Mental Health	6801088703	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: 11/14/2023

NPI Synchronization or Removal

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