MOTOR CITY DRIP HYDRATION AND WELLNESS LLC
NPI 1780484998
Nurse Practitioner - Psychiatric/Mental Health in Southfield, MI

Active since March 17, 2025
21701 W 11 MILE RD STE 11, SOUTHFIELD, MI 48076(313) 969-7292(313) 731-0144 Get Directions Write a Review

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

Record update history: Apr 23, 2026, Mar 17, 2025 (2 updates tracked since 2025).

  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About MOTOR CITY DRIP HYDRATION AND WELLNESS LLC

This page provides the complete NPI Profile along with additional information for Motor City Drip Hydration And Wellness Llc, a provider established in Southfield, Michigan operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1780484998 assigned on March 2025. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated June 2026. The authorized official of this NPI record is Nicorya Scott Np (Provider)

NPI
1780484998 Verify this NPI
Provider Name
MOTOR CITY DRIP HYDRATION AND WELLNESS LLC
Other Name Type
(6)
Entity Type
Organization
Location Address
21701 W 11 MILE RD STE 11 SOUTHFIELD, MI 48076
Location Phone
(313) 969-7292
Location Fax
(313) 731-0144
Mailing Address
21701 W 11 MILE RD STE 11 SOUTHFIELD, MI 48076
Mailing Phone
(313) 969-7292
Mailing Fax
(313) 731-0144
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-17-2025
Last Update Date
06-19-2026
Code Navigator

A nurse practitioner (NP) like Motor City Drip Hydration And Wellness Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NICORYA SCOTT NP

Authorized Official Title
PROVIDER
Authorized Official Phone
(313) 721-9699

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Nurse Practitioner
21701 W 11 MILE RD STE 11
SOUTHFIELD, MI 48076
Nurse Practitioner (Gerontology)
21701 W 11 MILE RD STE 11
SOUTHFIELD, MI 48076
Counselor (Mental Health)
21701 W 11 MILE RD STE 11
SOUTHFIELD, MI 48076

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780484998, enumerated as an "organization" on March 17, 2025.

The provider is located at 21701 W 11 MILE RD STE 11 SOUTHFIELD, MI 48076 and the phone number is (313) 969-7292.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.