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DIMITRIA LOUISE DOUGLAS LPN NURSE
NPI 1407536808
Licensed Practical Nurse in Canton, MI

Active since July 20, 2023
43825 MICHIGAN AVE, CANTON, MI 48188(734) 397-3088(734) 397-7044 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dimitria Louise Douglas Lpn Nurse NPPES

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

DIMITRIA LOUISE DOUGLAS LPN NURSE (NPI 1407536808) is an individual licensed practical nurse provider in Canton, Michigan, licensed in Michigan (4703080037) and active in the NPI registry since July 2023.Information from the official NPPES registry record, last updated July 20, 2023.

NPPES Registry Identity

NPI1407536808
Entity TypeIndividualFemale
Provider Legal NameDIMITRIA LOUISE DOUGLASCredential: LPN NURSE
Location Address43825 MICHIGAN AVECanton, MI 48188-2551
Mailing Address43825 Michigan AveCanton, MI 48188-2551 · (734) 397-3088
Phone(734) 397-3088
Fax(734) 397-7044
Sole ProprietorYes
Enumeration DateJuly 20, 2023
NPPES CertifiedJuly 20, 2023
✔ NPI 1407536808 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Licensed Practical Nurse

Taxonomy 164W00000X · Nursing Service Providers

✔ Licensed in MI · 4703080037

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for… Show more

43825 MICHIGAN AVE, Canton, MI 48188
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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

JULIA OLIVER L.C.M.H.C.
Counselor (Mental Health)
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MR. DOUGLAS JAMES PRYOR MA LLP CAC II
Psychologist
43825 MICHIGAN AVE, OAKDALE RECOVERY CENTER
CANTON, MI 48188
Wayne County (734) 397-3088
MS. TINA MARIE DEQUIN LLMSW
Social Worker (Clinical)
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MRS. GABRIELLE ELIZABETH STREFFON LLPC
Counselor
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MRS. ELIZABETH ANN PARSONS CTRS
Specialist
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
JILL M. FULTZ M.S., L.L.P.
Psychologist (Clinical)
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MS. NEKEEITA D HEARNS TLLP
Psychologist (Clinical)
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
JOHN A BECKER M.A. LLMFT
Marriage & Family Therapist
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MR. MATTHEW WARD WILLOX LMSW
Social Worker (Clinical)
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MISS CAMERON PAIGE ETTER LLMSW
Social Worker
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
DR. SHEILA FAYE BROWN-BURRELL LLPC; CAAC
Counselor
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MRS. KIMBERLEY ANN LEWIS M.A.
Counselor (Mental Health)
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MRS. MICHELLE LYNN MURRAY MSW
Social Worker (Clinical)
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
EDDIE BRYANT
Case Manager/Care Coordinator
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
ELIZABETH KATHRYN GREGORY BS, SST
Social Worker
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MRS. SAMARA LYNN HOUGH
Social Worker (Clinical)
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
AMANDA CLAIRE HERRICK
Student in an Organized Health Care Education/Training Program
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MS. TINA LARAYNE PARKMAN M.A.
Counselor
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
ROBIN KISS LLMSW
Social Worker
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MISS KYLE LAVERNE WOODS B.A.A.
Counselor
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088

Frequently Asked Questions

What is Dimitria Douglas's NPI number?

The NPI number assigned to this healthcare provider is 1407536808, enumerated as an "individual" on July 20, 2023.

Where is the provider located?

The provider is located at 43825 MICHIGAN AVE CANTON, MI 48188 and the phone number is (734) 397-3088.

What is the provider's specialty?

Licensed Practical Nurse with taxonomy code 164W00000X.