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GENEVIEVE DOUGLAS
NPI 1518332105
Counselor - Mental Health in Detroit, MI

Active since December 08, 2015
4646 JOHN R ST, DETROIT, MI 48201(313) 576-4924(313) 576-1074 Get Directions Write a Review

NPPES record last updated: December 8, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Genevieve Douglas NPPES

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

GENEVIEVE DOUGLAS (NPI 1518332105) is an individual mental health provider in Detroit, Michigan and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1518332105
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGENEVIEVE DOUGLAS
Location Address4646 JOHN R STDetroit, MI 48201-1916
Mailing Address4646 John R StDetroit, MI 48201-1916 · (313) 576-4924 · Fax (313) 576-1074
Phone(313) 576-4924
Fax(313) 576-1074
Sole ProprietorYes
Enumeration DateDecember 8, 2015
✔ NPI 1518332105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4646 JOHN R ST, Detroit, MI 48201
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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.

DR. YURIJ CHERSTYLO
Student in an Organized Health Care Education/Training Program
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
NAVITHA LONAPPAN
Registered Nurse (Medical-Surgical)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
SHARI KABETH RN
Registered Nurse (Gastroenterology)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
DEREK CURTIS THAMARUS
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1294
MOLLY GEORGE
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1316
EDWIN RAYMOND MILLER
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
MR. EDWIN INTIG LOON JR.
Licensed Practical Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
ASHLEY NICOLE DANIELS MDIV
Religious Nonmedical Practitioner
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000

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 Genevieve Douglas's NPI number?

The NPI number for Genevieve Douglas is 1518332105. It was assigned to this individual provider in the NPPES registry on December 8, 2015.

Where is Genevieve Douglas located?

Genevieve Douglas practices at 4646 John R St, Detroit, MI 48201. The listed phone number is (313) 576-4924.

What is Genevieve Douglas'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 Genevieve Douglas was last updated on December 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.