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TERI LAURIE COLVIN
NPI 1295373504
Community Based Residential Treatment Facility, Mental Illness in Detroit, MI

Active since December 17, 2019
1852 W GRAND BLVD, DETROIT, MI 48208(313) 894-8444 Get Directions Write a Review

NPPES record last updated: December 17, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Teri Laurie Colvin NPPES

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

TERI LAURIE COLVIN (NPI 1295373504) is an individual community based residential treatment facility, mental illness provider in Detroit, Michigan, licensed in Michigan (820174) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1295373504
Entity TypeIndividualFemale
Primary Taxonomy320800000X
Provider Legal NameTERI LAURIE COLVIN
Location Address1852 W GRAND BLVDDetroit, MI 48208-1006
Mailing Address1852 W Grand BlvdDetroit, MI 48208-1006 · (313) 894-8444
Phone(313) 894-8444
Sole ProprietorYes
Enumeration DateDecember 17, 2019
✔ NPI 1295373504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in MI · 820174
Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

1852 W GRAND BLVD, Detroit, MI 48208
Open in Google Maps ↗

Other Identifiers 1

Medicaid38-1917278MI

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.

MR. BRIAN R COGLIATI
Counselor (Addiction (Substance Use Disorder))
1852 W GRAND BLVD, 1852 W. GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 894-8444
MS. AMIE P LEWIS
Counselor (Addiction (Substance Use Disorder))
1852 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 894-8444
MR. RONALD GERVIN
Counselor (Addiction (Substance Use Disorder))
1852 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 894-8444
MR. ARTHUR KENYATTA GARRETT SR. M.A
Counselor
1852 W GRAND BLVD
DETROIT, MI 48208
Wayne County (517) 402-7444
LEE ZINSKY MA
Counselor (Addiction (Substance Use Disorder))
1852 W GRAND BLVD
DETROIT, MI 48208
Wayne County (586) 983-2670
DERRICK F HALE
Community Health Worker
1852 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 894-8444
MR. DONALD E PHILLIPS
Counselor (Addiction (Substance Use Disorder))
1852 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 894-8444
RAE HARRIS
Counselor (Addiction (Substance Use Disorder))
1852 W GRAND BLVD
DETROIT, MI 48208
Wayne County (586) 983-2670

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 Teri Colvin's NPI number?

The NPI number for Teri Colvin is 1295373504. It was assigned to this individual provider in the NPPES registry on December 17, 2019.

Where is Teri Colvin located?

Teri Colvin practices at 1852 W Grand Blvd, Detroit, MI 48208. The listed phone number is (313) 894-8444.

What is Teri Colvin's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Teri Colvin was last updated on December 17, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.