Gayland Adkins
Individual provider Active NPI Peer Specialist · Redford, MI
NPI 1457901142 · NPPES record last updated Sep 16, 2019
Key facts
- NPI
- 1457901142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 12285 Dixie Ste 100
Redford, MI 48239-2491 - Phone
- (313) 543-3393
- Fax
- (313) 543-3395
- NPI assigned
- Sep 16, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| Our Place Drop Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MI | Yes |
Addresses
Primary practice location
12285 Dixie Ste 100
Redford, MI 48239-2491
Mailing address
12285 Dixie Ste 100
Redford, MI 48239-2491
Phone (313) 543-3393
Other providers in Redford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2019. 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.