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DOMONIQUE GABRIELLE MINTER MA TLLP
NPI 1356124267
Psychologist - Clinical in Redford, MI

Active since August 15, 2023
12956 LENORE, REDFORD, MI 48239(248) 579-3981 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 25, 2026, Jan 3, 2026, Aug 15, 2023 (3 updates tracked since 2023).

About Domonique Gabrielle Minter Ma Tllp NPPES

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

DOMONIQUE GABRIELLE MINTER MA TLLP (NPI 1356124267) is an individual clinical provider in Redford, Michigan, licensed in Michigan (6362009770) and active in the NPI registry since August 2023. She maintains a secondary practice location in Wayne.

NPPES Registry Identity

NPI1356124267
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDOMONIQUE GABRIELLE MINTERCredential: MA TLLP
Location Address12956 LENORERedford, MI 48239-2609
Mailing Address12956 LenoreRedford, MI 48239-2609 · (248) 579-3981
Phone(248) 579-3981
Sole ProprietorYes
Enumeration DateAugust 15, 2023
Last NPPES UpdateMarch 25, 20263 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1356124267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6362009770
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
12956 LENORE, Redford, MI 48239
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Secondary Practice Location 1

Location 134841 Veterans PlzWayne, MI 48184-1733 · Phone (313) 292-7640

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Domonique Minter's NPI number?

The NPI number for Domonique Minter is 1356124267. It was assigned to this individual provider in the NPPES registry on August 15, 2023.

Where is Domonique Minter located?

Domonique Minter practices at 12956 Lenore, Redford, MI 48239. The listed phone number is (248) 579-3981.

What is Domonique Minter's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Domonique Minter was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.