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DAVID DOUGLASS CPRM-DP
NPI 1851112403
Peer Specialist in Detroit, MI

Active since October 17, 2024
2081 W GRAND BLVD, DETROIT, MI 48208(313) 895-0500(313) 895-0503 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David Douglass Cprm-dp NPPES

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

DAVID DOUGLASS CPRM-DP (NPI 1851112403) is an individual peer specialist in Detroit, Michigan and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1851112403
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameDAVID DOUGLASSCredential: CPRM-DP
Location Address2081 W GRAND BLVDDetroit, MI 48208-1105
Mailing Address2081 W Grand BlvdDetroit, MI 48208-1105 · (313) 895-0500
Phone(313) 895-0500
Fax(313) 895-0503
Sole ProprietorNo
Enumeration DateOctober 17, 2024
Last NPPES UpdateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1851112403 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.
2081 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.

MR. DARRIN GORDON CPRC
Counselor (Addiction (Substance Use Disorder))
2081 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 895-0500
MS. TAMARA THOMPSON
Counselor (Addiction (Substance Use Disorder))
2081 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 895-0500
MR. NATHAN LATTA CPRC
Peer Specialist
2081 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 895-0500
MR. STANLEY BERNARD SLOAN FOADP
Counselor (Addiction (Substance Use Disorder))
2081 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 895-0500
JUMEL BUTTS
Social Worker (Clinical)
2081 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 895-0500
MS. CHARMANE ANTOINETTE BUSSIE LLMSW
Counselor (Addiction (Substance Use Disorder))
2081 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 895-0500
MR. LIONEL ROSS BASS FAODP
Counselor (Addiction (Substance Use Disorder))
2081 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 895-0500
MR. DARRELL BARNES-BEY CPRM-M
Peer Specialist
2081 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 895-0500

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 David Douglass's NPI number?

The NPI number for David Douglass is 1851112403. It was assigned to this individual provider in the NPPES registry on October 17, 2024.

Where is David Douglass located?

David Douglass practices at 2081 W Grand Blvd, Detroit, MI 48208. The listed phone number is (313) 895-0500.

What is David Douglass'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 David Douglass was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.