DOMINIQUE JOHNSON NPI 1891586210

NPI Information

NPI: 1891586210
Provider Name: DOMINIQUE JOHNSON
Classification: Clinic/Center - 261Q00000X
Entity Type: Individual
Address: 4673 WASHTENAW AVE
ANN ARBOR, MI
ZIP 48108
Phone: (734) 547-5009

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NPI Details

Dominique Johnson is a clinic center in Ann Arbor, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). Dominique Johnson NPI is 1891586210. 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:

4673 WASHTENAW AVE
ANN ARBOR, MI
ZIP 48108-301
Phone: (734) 547-5009

The enumeration date for this NPI number is 5/15/2025 and was last updated on 5/15/2025.

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	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	251S00000X	Community/Behavioral Health		No
3	261QC1500X	Clinic/Center	Community Health	No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
5	261Q00000X	Clinic/Center		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: 11/21/2025

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