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MR. THOMAS HARRISON BLACK
NPI 1932687407
Peer Specialist in Detroit, MI

Active since August 06, 2018
1121 E MCNICHOLS RD, DETROIT, MI 48203(313) 365-3113 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Thomas Harrison Black NPPES

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

MR. THOMAS HARRISON BLACK (NPI 1932687407) is an individual peer specialist in Detroit, Michigan and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1932687407
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. THOMAS HARRISON BLACK
Location Address1121 E MCNICHOLS RDDetroit, MI 48203-2857
Mailing Address8290 E 10 Mile Rd # A-15Center Line, MI 48015-1412 · (586) 823-1465
Phone(313) 365-3113
Sole ProprietorYes
Enumeration DateAugust 6, 2018
✔ NPI 1932687407 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.
1121 E MCNICHOLS RD, Detroit, MI 48203
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

JEREMY ALAN WILMOT
Peer Specialist
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 365-3100
KIMBERLY JAN GLENN
Counselor
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 324-8900
MS. JACQUELINE DENISE DOUGLAS
Contractor
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (616) 365-3100
MR. JAY ANDRE YOUNG SR.
Case Manager/Care Coordinator
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 365-3100
MR. RODNEY ALLEN DUNCAN
Contractor
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (616) 365-3100
JOHN LEWIS EBERHART CAC-I
Peer Specialist
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 365-3100
MRS. FELICIA D BEARD
Contractor
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (616) 365-3100
T'MANDO ALLEN DENSON-EL SR.
Peer Specialist
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 365-3100

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 Thomas Black's NPI number?

The NPI number for Thomas Black is 1932687407. It was assigned to this individual provider in the NPPES registry on August 6, 2018.

Where is Thomas Black located?

Thomas Black practices at 1121 E Mcnichols Rd, Detroit, MI 48203. The listed phone number is (313) 365-3113.

What is Thomas Black'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 Thomas Black was last updated on August 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.