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General NPI Number Information
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NPI Number | 1588457865
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Entity Type | Organization
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Legal Business Name | DETROIT PEOPLES COMMUNITY
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 1001 WOODWARD AVE FL 5
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City | DETROIT
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State | MI
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Zip | 48226-1904
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Country | US
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Telephone | 616-633-0490
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 WOODWARD AVE FL 5
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City | DETROIT
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State | MI
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Zip | 48226-1904
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | JACQUELINE ROBINSON
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Credential |
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Telephone | 616-633-0490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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