MR. ADOLPHUS HEATH
NPI 1619225562
Counselor - Professional in Detroit, MI

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since August 27, 2012

2081 W GRAND BLVD, DETROIT, MI 48208(313) 895-0500 Get Directions Write a Review

NPPES record last updated: August 27, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Adolphus Heath NPPES

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

MR. ADOLPHUS HEATH (NPI 1619225562) is an individual professional provider in Detroit, Michigan, licensed in Michigan (820123) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1619225562

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. ADOLPHUS HEATH

Location Address2081 W GRAND BLVDDetroit, MI 48208-1105

Mailing Address6385 Radnor StDetroit, MI 48224-1261 · (313) 283-6956

Phone(313) 895-0500

Sole ProprietorNo

Enumeration DateAugust 27, 2012

✔ NPI 1619225562 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 · 820123

2081 W GRAND BLVD, Detroit, MI 48208

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Other Identifiers 1

Medicaid820123MI

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.

MR. LIONEL ROSS BASS FAODP

Counselor (Addiction (Substance Use Disorder))