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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TYJUANIQUE REVERE
NPI 1487551628
Counselor - Mental Health in Detroit, MI

Active since October 21, 2026
7800 W OUTER DR STE LL04, DETROIT, MI 48235(734) 255-4000(313) 766-5882 Get Directions Write a Review

NPPES record added: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tyjuanique Revere NPPES

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

TYJUANIQUE REVERE (NPI 1487551628) is an individual mental health provider in Detroit, Michigan, licensed in Michigan (6451024033) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1487551628
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTYJUANIQUE REVERE
Location Address7800 W OUTER DR STE LL04Detroit, MI 48235-3461
Mailing Address5266 Oak Park DrClarkston, MI 48346-3943 · (248) 819-4226
Phone(734) 255-4000
Fax(313) 766-5882
Sole ProprietorYes
Enumeration DateOctober 21, 2026
NPPES CertifiedOctober 5, 2026
✔ NPI 1487551628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6451024033
7800 W OUTER DR STE LL04, Detroit, MI 48235
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. REBEKAH DOVE MONTGOMERY PHD, LPC-S
Counselor (Mental Health)
7800 W OUTER DR STE LL04
DETROIT, MI 48235
Wayne County (734) 255-4000
GROWING WELL CLINICAL THERAPY LLC
Social Worker (Clinical)
7800 W OUTER DR STE LL04
DETROIT, MI 48235
Wayne County (734) 846-5723
MAQUIRA OLIVER LCSW
Social Worker (Clinical)
7800 W OUTER DR STE LL04
DETROIT, MI 48235
Wayne County (734) 846-5723

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 Tyjuanique Revere's NPI number?

The NPI number for Tyjuanique Revere is 1487551628. It was assigned to this individual provider in the NPPES registry on October 21, 2026.

Where is Tyjuanique Revere located?

Tyjuanique Revere practices at 7800 W Outer Dr Ste Ll04, Detroit, MI 48235. The listed phone number is (734) 255-4000.

What is Tyjuanique Revere's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tyjuanique Revere was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.