MR. SHELBY QUALLS


Address: 8809 John C Lodge, Detroit, MI 48224
Phone: 3138876737

MR. SHELBY QUALLS (NPI# 1194847749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194847749
Entity Type Individual
Full Name MR. SHELBY QUALLS
Credential CAC-1
Practice Address 8809 John C Lodge
Detroit
MI 48224
Mailing Address 10520 Morang Dr
Detroit
MI 48224-1840
Practice Telephone 3138876737
Practice Fax Number 3138760532
Mailing Telephone 3136408084
Enumeration Date 2007-04-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
820080 MI Behavioral Health & Social Service Providers

Office Location

Street Address 8809 JOHN C LODGE
City DETROIT
State MI
Zip Code 48224

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326169186 Charllotte Densmore Counselor 8809 John C Lodge, Bldg. #5, Detroit, MI 48202 2007-04-02
1124226618 Lisa Denette Woods Counselor 8809 John C Lodge, Detroit, MI 48202 2007-07-05
1386850501 Tina Adele Johnson Registered Nurse 8809 John C Lodge, Detroit, MI 48202 2007-05-15
1235250093 Florence Una-marie Arrington Counselor 8809 John C Lodge, Detroit, MI 48202 2007-04-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508403767 Renia Scott Licensed Practical Nurse 5211 Berkshire St, Detroit, MI 48224 2019-12-06
1063928612 Edith Neely-harris Registered Nurse 1203 Courville Street, Detroit, MI 48224 2017-12-19
1043767585 Annette Jackson Counselor 10666 Duprey St, Detroit, MI 48224 2016-09-01
1164977807 Dehvin White-peck Technician, Other 4529 Harvard Rd, Detroit, MI 48224 2016-08-23
1992153704 Andrea Henderson Licensed Practical Nurse 9131 Bradford, Detroit, MI 48224 2016-06-02
1467807578 Venus Staffing LLC Nursing Care 5601 Devonshire Rd, Detroit, MI 48224 2016-04-26
1558795625 Rafia El-alayli Internal Medicine 9901 Whittier Ave, Detroit, MI 48224 2013-08-26
1831334259 House of Hearts Ministry, Inc. Voluntary or Charitable 11151 Worden, Detroit, MI 48224 2008-12-15
1992994636 Lilian Lai Md PC Clinic/Center 15850 E Warren Ave, Detroit, MI 48224 2007-10-18
1184845844 Tymon C Totte Dentist 17700 Mack Ave, Great Expressions Dental Centers, Gross Pointe, MI 48224 2007-05-01
Find all providers in zip 48224

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386251841 Diversified Community Services Counselor 10301 W 7 Mile Rd, Detroit, MI 48221-1962 2020-09-29
1750907853 Ronnie Stephen Counselor 15025 Fenkell St, Detroit, MI 48227-2647 2020-06-24
1144860552 Allen Hugh Warrick IIi Counselor 9605 Grand River Ave # A, Detroit, MI 48204-2139 2020-01-14
1396309878 Darnesha Coy Counselor 17870 Dresden St, Detroit, MI 48205-3138 2019-04-30
1518438746 Curron Thomas Counselor 16850 Wyoming St, Apartment 328, Detroit, MI 48221-3415 2018-12-16
1861962094 Reid Talley Counselor 12010 Elmhurst, Detroit, MI 48206 2018-11-30
1205304359 Life Challenge of Southeastern Michigan Counselor 17667 Pierson St, Detroit, MI 48219-2520 2018-11-07
1598233892 Michigan Employment & Training Plus Counselor 6522 Piedmont St, Detroit, MI 48228-4950 2018-11-05
1821588773 Avery Brown Jr. Counselor 8333 Townsend St, Detroit, MI 48213-2331 2018-05-16
1538669304 Helping Hands Community Centers 1 Counselor 2434 Chicago Blvd, Detroit, MI 48206-1741 2018-02-17
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Competitor

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City DETROIT
Zip Code 48224

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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