Domonique Gabrielle Minter, MA TLLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6362009770 Issued in MI

Practice address

12956 Lenore
Redford, MI 48239-2609

Phone

(248) 579-3981

NPI assigned

Aug 15, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Emotional Advantage LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ferndale, MI
  • NPI 1447647789

  Multi-Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1356124267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12956 LENORE",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482392609",
            "telephone_number": "248-579-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12956 LENORE",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482392609",
            "telephone_number": "248-579-3981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34841 Veterans Plz",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "MI",
            "postal_code": "481841733",
            "country_code": "US",
            "telephone_number": "313-292-7640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINTER",
        "first_name": "DOMONIQUE",
        "middle_name": "GABRIELLE",
        "credential": "MA TLLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6362009770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Mills, LPN
• Latonia Mindingall, LBSW
• Margaret Mingo, MA NCC LPC
• Naseem Ayub Minhas
• Kayla Courtney Minor
• Miracle Care Manor LLC
• Kayla Misajlovski, PA
• Miss Krystal Cares LLC
• Trupti Daxesh Modi, PT
• Amal Mohamed Mohamed, LLMSW

• Clinical Psychologist in Redford, MI
• Providers in Redford, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.