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OMAR SHABAZZ
NPI 1902290687
Counselor - Addiction (Substance Use Disorder) in Detroit, MI

Active since March 20, 2015
300 W MCNICHOLS RD, DETROIT, MI 48203(313) 867-8015(313) 867-8040 Get Directions Write a Review

NPPES record last updated: March 20, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Omar Shabazz NPPES

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

OMAR SHABAZZ (NPI 1902290687) is an individual addiction (substance use disorder) provider in Detroit, Michigan and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1902290687
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameOMAR SHABAZZ
Location Address300 W MCNICHOLS RDDetroit, MI 48203-2703
Mailing Address5250 Bedford StDetroit, MI 48224-2653 · (313) 808-4132
Phone(313) 867-8015
Fax(313) 867-8040
Sole ProprietorYes
Enumeration DateMarch 20, 2015
✔ NPI 1902290687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
300 W MCNICHOLS RD, Detroit, MI 48203
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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.

CRYSTAL CHARMAYNE ADDISON
Counselor (Addiction (Substance Use Disorder))
300 W MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 867-8015
KARLY BRYAN FEEMAN AA
Counselor (Addiction (Substance Use Disorder))
300 W MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 867-8015
CHERYL COHILL COUNSELOR
Counselor (Addiction (Substance Use Disorder))
300 W MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 867-8015
MICHELLE DAYS
Counselor (Addiction (Substance Use Disorder))
300 W MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 867-8015
JEWELL BALTIMORE
Counselor (Addiction (Substance Use Disorder))
300 W MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 867-8015
NEW LIGHT RECOVERUY CENTER,INC.
Counselor (Addiction (Substance Use Disorder))
300 W MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 867-8015
SHIRLEY ARRINGTON
Counselor (Addiction (Substance Use Disorder))
300 W MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 867-8015
KENDRA WASHINTON-MORRIS AODA
Substance Abuse Rehabilitation Facility
300 W MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 867-8015

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 Omar Shabazz's NPI number?

The NPI number for Omar Shabazz is 1902290687. It was assigned to this individual provider in the NPPES registry on March 20, 2015.

Where is Omar Shabazz located?

Omar Shabazz practices at 300 W Mcnichols Rd, Detroit, MI 48203. The listed phone number is (313) 867-8015.

What is Omar Shabazz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Omar Shabazz was last updated on March 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.