T'Mando Allen Denson-El Sr.

Individual provider Active NPI Peer Specialist · Detroit, MI

NPI 1053955419 · NPPES record last updated Nov 27, 2023

Key facts

NPI
1053955419
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
1121 E McNichols Rd
Detroit, MI 48203-2857
Phone
(313) 365-3100
Fax
(313) 365-3101
NPI assigned
Oct 29, 2019
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Denson El Centers for Recovery Support Services Peer Specialist Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

1121 E McNichols Rd
Detroit, MI 48203-2857

Mailing address

5247 Linsdale St
Detroit, MI 48204-3633
Phone (313) 293-1609

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://www4.nextstepms.com/DRP/login.asp Health Information Exchange (HIE) Detroit Recovery Project

Other providers in Detroit, MI

All providers in Detroit, MI · Peer Specialist in Michigan

Sources for this page

Verify at the official NPI Registry.