MR. THORNTON W.E.D. WALLS III CPSS
NPI 1972382612
Peer Specialist in Detroit, MI

Q: What is Thornton Walls's NPI number?

The NPI number for Thornton Walls is 1972382612. It was assigned to this individual provider in the NPPES registry on September 22, 2023.

Q: What is Thornton Walls's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thornton Walls was last updated on September 22, 2023. 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.

Active since September 22, 2023

12010 LINWOOD ST, DETROIT, MI 48206(313) 867-1090(313) 867-0706 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Thornton W.e.d. Walls Iii Cpss NPPES

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

MR. THORNTON W.E.D. WALLS III CPSS (NPI 1972382612) is an individual peer specialist in Detroit, Michigan and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1972382612

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameMR. THORNTON W.E.D. WALLS IIICredential: CPSS

Location Address12010 LINWOOD STDetroit, MI 48206-1108

Mailing Address12010 Linwood StDetroit, MI 48206-1108 · (313) 867-1090 · Fax (313) 867-0706

Phone(313) 867-1090

Fax(313) 867-0706

Sole ProprietorYes

Enumeration DateSeptember 22, 2023

NPPES CertifiedSeptember 22, 2023

✔ NPI 1972382612 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.

12010 LINWOOD ST, Detroit, MI 48206

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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.

ANTHONY JEROME ALLEN AAS., CAC II

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