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NICOLE DIANE CHARLES
NPI 1154008100
Peer Specialist in Detroit, MI

Active since June 30, 2023
6309 MACK AVE, DETROIT, MI 48207(313) 331-3435 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Diane Charles NPPES

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

NICOLE DIANE CHARLES (NPI 1154008100) is an individual peer specialist in Detroit, Michigan and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1154008100
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameNICOLE DIANE CHARLES
Location Address6309 MACK AVEDetroit, MI 48207-2302
Mailing Address6309 Mack AveDetroit, MI 48207-2302 · (313) 331-3435
Phone(313) 331-3435
Sole ProprietorYes
Enumeration DateJune 30, 2023
NPPES CertifiedJune 30, 2023
✔ NPI 1154008100 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.
6309 MACK AVE, Detroit, MI 48207
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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.

ANASTASIA C JIMERSON
Social Worker (Clinical)
6309 MACK AVE
DETROIT, MI 48207
Wayne County (248) 909-1139
JASMINE TAMESHA SMITH
Social Worker
6309 MACK AVE
DETROIT, MI 48207
Wayne County (313) 544-0559
DEVEN ELIZABETH DELESTON
Social Worker (Clinical)
6309 MACK AVE
DETROIT, MI 48207
Wayne County (313) 880-0298
DOMONIQUE SMITH
Social Worker
6309 MACK AVE
DETROIT, MI 48207
Wayne County (313) 331-3435
GEORGE EDWIN HILL II SST
Social Worker
6309 MACK AVE
DETROIT, MI 48207
Wayne County (313) 405-4143
SHADORIE ANNE JAMES CCMA
Social Worker (Clinical)
6309 MACK AVE
DETROIT, MI 48207
Wayne County (313) 282-8447
JOI-NAE KIERRA BELL
Social Worker
6309 MACK AVE
DETROIT, MI 48207
Wayne County (313) 878-2167
MR. ARTHUR L WEBSTER CAC-M
Counselor (Professional)
6309 MACK AVE
DETROIT, MI 48207
Wayne County (313) 921-4700

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 Nicole Charles's NPI number?

The NPI number for Nicole Charles is 1154008100. It was assigned to this individual provider in the NPPES registry on June 30, 2023.

Where is Nicole Charles located?

Nicole Charles practices at 6309 Mack Ave, Detroit, MI 48207. The listed phone number is (313) 331-3435.

What is Nicole Charles'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 Nicole Charles was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.