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SHAHETIA ADEDRA MARSH LLC
NPI 1104694488
Counselor in Lincoln Park, MI

Active since December 15, 2023
26184 OUTER DR, LINCOLN PARK, MI 48146(313) 389-7500 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shahetia Adedra Marsh Llc NPPES

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

SHAHETIA ADEDRA MARSH LLC (NPI 1104694488) is an individual counselor in Lincoln Park, Michigan and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1104694488
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHAHETIA ADEDRA MARSHCredential: LLC
Location Address26184 OUTER DRLincoln Park, MI 48146-2084
Mailing Address1364 Moran AveLincoln Park, MI 48146-3850
Phone(313) 389-7500
Sole ProprietorYes
Enumeration DateDecember 15, 2023
NPPES CertifiedDecember 15, 2023
✔ NPI 1104694488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
26184 OUTER DR, Lincoln Park, MI 48146
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Other Providers at the Same Location NPPES 20

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

CELESTE SPIGHT
Social Worker
26184 OUTER DR
LINCOLN PARK, MI 48146
Wayne County (313) 389-7500
CAROL MCHENRY
Counselor (Addiction (Substance Use Disorder))
26184 OUTER DR
LINCOLN PARK, MI 48146
Wayne County (313) 389-7525
BRITTANY CARLITA BELL
Social Worker
26184 OUTER DR
LINCOLN PARK, MI 48146
Wayne County (313) 389-7500
TYLER JACKSON LLMSW
Social Worker
26184 OUTER DR
LINCOLN PARK, MI 48146
Wayne County (313) 389-7516
CINDY M ALICEA
Case Manager/Care Coordinator
26184 OUTER DR
LINCOLN PARK, MI 48146
Wayne County (313) 389-7500
TANGE JONES-BERRY
Case Manager/Care Coordinator
26184 OUTER DR
LINCOLN PARK, MI 48146
Wayne County (313) 389-7500
NICHOLE HORVATH
Registered Nurse (Psychiatric/Mental Health, Adult)
26184 OUTER DR
LINCOLN PARK, MI 48146
Wayne County (313) 389-7525
DONTIA WILSON
Counselor (Mental Health)
26184 OUTER DR
LINCOLN PARK, MI 48146
Wayne County (313) 389-7510

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 Shahetia Marsh's NPI number?

The NPI number for Shahetia Marsh is 1104694488. It was assigned to this individual provider in the NPPES registry on December 15, 2023.

Where is Shahetia Marsh located?

Shahetia Marsh practices at 26184 Outer Dr, Lincoln Park, MI 48146. The listed phone number is (313) 389-7500.

What is Shahetia Marsh's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Shahetia Marsh was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.