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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denson El Centers for Recovery Support Services | Peer Specialist | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www4.nextstepms.com/DRP/login.asp | Health Information Exchange (HIE) | Detroit Recovery Project |
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.