1. Home
  2. Directory
  3. Michigan
  4. Livonia
  5. Counselor
  6. NPI Profile

MIDWEST DETOX LLC
NPI 1316690753
Counselor - Addiction (Substance Use Disorder) in Livonia, MI

Active since January 26, 2022
31153 PLYMOUTH RD STE 105, LIVONIA, MI 48150(231) 409-0606 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Midwest Detox Llc NPPES

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

MIDWEST DETOX LLC (NPI 1316690753) is a healthcare organization registered as an addiction (substance use disorder) in Livonia, Michigan and active in the NPI registry since January 2022. The organization lists Donovan Miske, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1316690753
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameMIDWEST DETOX LLC
Location Address31153 PLYMOUTH RD STE 105Livonia, MI 48150-2134
Mailing Address31153 Plymouth Rd Ste 105Livonia, MI 48150-2134
Phone(231) 409-0606
Organization SubpartNo
Authorized OfficialDonovan MiskeExecutive Director · (313) 444-0167
Enumeration DateJanuary 26, 2022
NPPES CertifiedJanuary 26, 2022
✔ NPI 1316690753 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
31153 PLYMOUTH RD STE 105, Livonia, MI 48150
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

JERMAINE SIMS
Behavior Technician
31153 PLYMOUTH RD STE 105
LIVONIA, MI 48150
Wayne County (734) 466-5150
ZELEXA, LLC
Behavior Analyst
31153 PLYMOUTH RD STE 105
LIVONIA, MI 48150
Wayne County (734) 717-4292
AMBER WILEN
Behavior Technician
31153 PLYMOUTH RD STE 105
LIVONIA, MI 48150
Wayne County (734) 466-5150
KAITLYN KAFCAS
Behavior Technician
31153 PLYMOUTH RD STE 105
LIVONIA, MI 48150
Wayne County (734) 466-5150
MIA POWELL
Behavior Technician
31153 PLYMOUTH RD STE 105
LIVONIA, MI 48150
Wayne County (734) 466-5150
LAKITA EBOH
Behavior Technician
31153 PLYMOUTH RD STE 105
LIVONIA, MI 48150
Wayne County (734) 466-5150
SIMONE GIACOBBE
Behavior Technician
31153 PLYMOUTH RD STE 105
LIVONIA, MI 48150
Wayne County (734) 466-5150
CHARBEL NAJEM
Behavior Technician
31153 PLYMOUTH RD STE 105
LIVONIA, MI 48150
Wayne County (734) 466-5150

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 Midwest Detox LLC's NPI number?

The NPI number for Midwest Detox LLC is 1316690753. It was assigned to this organization in the NPPES registry on January 26, 2022.

Where is Midwest Detox LLC located?

Midwest Detox LLC is located at 31153 Plymouth Rd Ste 105, Livonia, MI 48150. The listed phone number is (231) 409-0606.

What is Midwest Detox LLC'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 Midwest Detox LLC was last updated on January 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.