1. Home
  2. Directory
  3. Michigan
  4. Flint
  5. Peer Specialist
  6. NPI Profile

KENYAHDAL GATEWOOD PRC
NPI 1023818192
Peer Specialist in Flint, MI

Active since March 17, 2025
1044 W BRISTOL RD, FLINT, MI 48507(810) 238-0483 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenyahdal Gatewood Prc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENYAHDAL GATEWOOD PRC (NPI 1023818192) is an individual peer specialist in Flint, Michigan and active in the NPI registry since March 2025. He maintains a secondary practice location in Flint.

NPPES Registry Identity

NPI1023818192
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameKENYAHDAL GATEWOODCredential: PRC
Location Address1044 W BRISTOL RDFlint, MI 48507-5516
Mailing Address1116 W Bristol RdFlint, MI 48507-5518 · (810) 238-0483
Phone(810) 238-0483
Sole ProprietorYes
Enumeration DateMarch 17, 2025
NPPES CertifiedMarch 17, 2025
✔ NPI 1023818192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1044 W BRISTOL RD, Flint, MI 48507
Open in Google Maps ↗

Secondary Practice Location 1

Location 11116 W Bristol RdFlint, MI 48507-5518 · Phone (810) 238-0483

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIONDREA LENARD HALL CPRC
Peer Specialist
1044 W BRISTOL RD
FLINT, MI 48507
Genesee County (810) 238-0483
MARY GAYNELL HOPKINS PRC
Peer Specialist
1044 W BRISTOL RD
FLINT, MI 48507
Genesee County (810) 238-0483
FLINT ODYSSEY HOUSE INC.
Substance Abuse Rehabilitation Facility
1044 W BRISTOL RD
FLINT, MI 48507
Genesee County (810) 238-7226
MICHELLE LYNN GREEN DP-C
Counselor
1044 W BRISTOL RD
FLINT, MI 48507
Genesee County (810) 238-0483
TYASHA RAGEA APPLING LPN
Licensed Practical Nurse
1044 W BRISTOL RD
FLINT, MI 48507
Genesee County (810) 238-0483
STEPHAN WADE CROISANT
Peer Specialist
1044 W BRISTOL RD
FLINT, MI 48507
Genesee County (810) 238-0483
TIFFANY MATTHEWS LPN
Licensed Practical Nurse
1044 W BRISTOL RD
FLINT, MI 48507
Genesee County (810) 238-0483
DRIVERS DYNAMIC
Transportation Broker
1044 W BRISTOL RD, APT.206-1
FLINT, MI 48507
Genesee County (616) 589-4617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenyahdal Gatewood's NPI number?

The NPI number for Kenyahdal Gatewood is 1023818192. It was assigned to this individual provider in the NPPES registry on March 17, 2025.

Where is Kenyahdal Gatewood located?

Kenyahdal Gatewood practices at 1044 W Bristol Rd, Flint, MI 48507. The listed phone number is (810) 238-0483.

What is Kenyahdal Gatewood's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kenyahdal Gatewood was last updated on March 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.