MEDIVEX LLC NPI 1770418212

NPI Information

  • NPI: 1770418212
  • Provider Name: MEDIVEX LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 29650 TRAILWOOD DR
    WARREN, MI
    ZIP 48092
  • Phone: (281) 216-6971

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NPI Details

MEDIVEX LLC is a mental health counselor in Warren, MI. MEDIVEX LLC NPI is 1770418212. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

29650 TRAILWOOD DR
WARREN, MI
ZIP 48092-699
Phone: (281) 216-6971

The provider's authorized official is Charles Holton .
The authorized official title is Supervisor and has the following contact phone number (281) 216-6971.

The enumeration date for this NPI number is 6/16/2026 and was last updated on 6/16/2026.

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
1101YM0800XCounselorMental HealthYes

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

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