MR. SHELBY QUALLS CAC-1
NPI 1194847749
Counselor - Addiction (Substance Use Disorder) in Detroit, MI

Q: What is Shelby Qualls's NPI number?

The NPI number for Shelby Qualls is 1194847749. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Q: What is Shelby Qualls's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Shelby Qualls was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 04, 2007

8809 JOHN C LODGE, DETROIT, MI 48224(313) 887-6737(313) 876-0532 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Shelby Qualls Cac-1 NPPES

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

MR. SHELBY QUALLS CAC-1 (NPI 1194847749) is an individual addiction (substance use disorder) provider in Detroit, Michigan, licensed in Michigan (820080) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1194847749

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. SHELBY QUALLSCredential: CAC-1

Location Address8809 JOHN C LODGEDetroit, MI 48224

Mailing Address10520 Morang DrDetroit, MI 48224-1840 · (313) 640-8084

Phone(313) 887-6737

Fax(313) 876-0532

Sole ProprietorNo

Enumeration DateApril 4, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1194847749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MI · 820080

8809 JOHN C LODGE, Detroit, MI 48224

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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 Shelby Qualls's NPI number?

The NPI number for Shelby Qualls is 1194847749. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Shelby Qualls located?

Shelby Qualls practices at 8809 John C Lodge, Detroit, MI 48224. The listed phone number is (313) 887-6737.

What is Shelby Qualls's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shelby Qualls was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.