THERESAA L LITTLE
NPI 1225740459
Peer Specialist in Detroit, MI
- Individual
- Female
- Peer Specialist
About THERESAA LITTLE
This page provides the complete NPI Profile along with additional information for Theresaa Little, a provider established in Detroit, Michigan with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1225740459 assigned on December 2022. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1225740459 Verify this NPI
- Provider Name
- THERESAA L LITTLE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5647 E OUTER DR DETROIT, MI 48234
- Location Phone
- (313) 463-3483
- Mailing Address
- 4875 COPLIN ST DETROIT, MI 48215
- Mailing Phone
- (313) 454-7777
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-19-2022
- Last Update Date
- 12-19-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | (MI) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225740459, enumerated as an "individual" on December 19, 2022.
The provider is located at 5647 E OUTER DR DETROIT, MI 48234 and the phone number is (313) 463-3483.
Peer Specialist with taxonomy code 175T00000X.
