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MISS KIMBERLY PATRICE DEBOSE
NPI 1720764913
Peer Specialist in Detroit, MI

Active since June 23, 2023
1145 W GRAND BLVD, DETROIT, MI 48208(313) 324-8900 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 19, 2024, Aug 25, 2023, Jun 23, 2023 (3 updates tracked since 2023).

About Miss Kimberly Patrice Debose NPPES

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

MISS KIMBERLY PATRICE DEBOSE (NPI 1720764913) is an individual peer specialist in Detroit, Michigan and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1720764913
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMISS KIMBERLY PATRICE DEBOSE
Location Address1145 W GRAND BLVDDetroit, MI 48208-2336
Mailing Address26639 Monticello StInkster, MI 48141-1258 · (616) 719-7931
Phone(313) 324-8900
Sole ProprietorYes
Enumeration DateJune 23, 2023
Last NPPES UpdateApril 19, 20243 updates tracked since enumeration
NPPES CertifiedApril 19, 2024
✔ NPI 1720764913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1145 W GRAND BLVD, Detroit, MI 48208
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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.

LINDA JENKINS
Counselor
1145 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 365-3100
MR. MARCUS LLEWELLYN BYNES
Peer Specialist
1145 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 324-8900
DENESHA HILL
Case Manager/Care Coordinator
1145 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 324-8900
DAWN MARIE CALLOWAY
Case Manager/Care Coordinator
1145 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 324-8900
ASHLEIGH MURDOCK
Counselor (Addiction (Substance Use Disorder))
1145 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 365-3100
DEBORAH GARRETT
Counselor (Addiction (Substance Use Disorder))
1145 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 324-8900
CHERITA CRANON
Peer Specialist
1145 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 324-8900
KANZONI NEUMANN ASABIGI MD
Family Medicine
1145 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 324-8900

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 Kimberly Debose's NPI number?

The NPI number for Kimberly Debose is 1720764913. It was assigned to this individual provider in the NPPES registry on June 23, 2023.

Where is Kimberly Debose located?

Kimberly Debose practices at 1145 W Grand Blvd, Detroit, MI 48208. The listed phone number is (313) 324-8900.

What is Kimberly Debose's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Debose was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.