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MR. JEFFREY GRANGER HENDRICKS
NPI 1598017030
Counselor - Professional in Detroit, MI

Active since October 08, 2012
5450 W OUTER DR, DETROIT, MI 48235(313) 861-8515(313) 341-9801 Get Directions Write a Review

NPPES record last updated: October 8, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Jeffrey Granger Hendricks NPPES

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

MR. JEFFREY GRANGER HENDRICKS (NPI 1598017030) is an individual professional provider in Detroit, Michigan, licensed in Michigan (6401003783) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1598017030
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JEFFREY GRANGER HENDRICKS
Location Address5450 W OUTER DRDetroit, MI 48235-1485
Mailing Address5450 W Outer DrDetroit, MI 48235-1485 · (313) 861-8515 · Fax (313) 341-9801
Phone(313) 861-8515
Fax(313) 341-9801
Sole ProprietorYes
Enumeration DateOctober 8, 2012
✔ NPI 1598017030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401003783
5450 W OUTER DR, Detroit, MI 48235
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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 Jeffrey Hendricks's NPI number?

The NPI number for Jeffrey Hendricks is 1598017030. It was assigned to this individual provider in the NPPES registry on October 8, 2012.

Where is Jeffrey Hendricks located?

Jeffrey Hendricks practices at 5450 W Outer Dr, Detroit, MI 48235. The listed phone number is (313) 861-8515.

What is Jeffrey Hendricks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jeffrey Hendricks was last updated on October 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.