LARRY DEAN GUDITH


Address: 445 Ledyard St, Detroit, MI 48201-2641
Phone: 3139629446

LARRY DEAN GUDITH (NPI# 1760919401) 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) 1760919401
Entity Type Individual
Full Name LARRY DEAN GUDITH
Practice Address 445 Ledyard St
Detroit
MI 48201-2641
Practice Telephone 3139629446
Practice Fax Number 3139626395
Mailing Telephone 3139629446
Mailing Fax Number 3139626395
Enumeration Date 2017-05-12
Last Update Date 2017-05-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 445 LEDYARD ST
City DETROIT
State MI
Zip Code 48201-2641

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558485466 Mariners Inn Community Based Residential Treatment Facility, Mental Illness 445 Ledyard St, Detroit, MI 48201-2641 2007-03-17
1457969198 Stefanie Alston Counselor 445 Ledyard St, Detroit, MI 48201 2020-07-20
1851919674 Valencia Ann Frank Community Health Worker 445 Ledyard St, Detroit, MI 48201 2020-07-08
1508484510 Edward A Gardin Community Health Worker 445 Ledyard St, Detroit, MI 48201 2020-07-07
1609422617 Ashley Volkman Specialist 445 Ledyard St, Detroit, MI 48201-2641 2019-08-15
1427534536 Ariel Joy Farley Social Worker 445 Ledyard St, Detroit, MI 48201-2641 2018-07-12
1265946271 Christina Shamily Specialist 445 Ledyard St, Detroit, MI 48201-2641 2017-11-29
1629582770 Portia Hardrick-brown Specialist 445 Ledyard St, Detroit, MI 48201-2641 2017-11-28
1922534023 Dorothy Vukmirovich Substance Abuse Rehabilitation Facility 445 Ledyard St, Detroit, MI 48201-2641 2017-05-10
1609316777 Payton Jackson IIi Community/Behavioral Health 445 Ledyard St, Detroit, MI 48201-2641 2017-03-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
Find all providers in zip 48201

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy 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.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992355135 James Calloway Peer Specialist 1211 E Mcnichols, Detroit, MI 48203 2019-09-19
1790331536 Bridgett Darcell Scott Peer Specialist 1121 E 6 Mile Rd, Detroit, MI 48203-2857 2019-08-16
1932669827 Donald Brown Peer Specialist 18582 Goddard St, Detroit, MI 48234-1319 2019-03-25
1710463880 Felicia Greene Peer Specialist 3542 Fairview St, Detroit, MI 48214-3539 2018-07-12
1033603998 Tonya Patrice Miller-cherry Peer Specialist 1423 Field St # 5, Detroit, MI 48214-2321 2018-06-14
1831612662 Heidi L Brinkley Peer Specialist 5575 Conner St Ste 204b, Detroit, MI 48213-6401 2017-07-24
1588067383 Katrina Baldwin Peer Specialist 11668 Montrose St, Detroit, MI 48227-1758 2014-10-07
1700498771 Darryl Angelo Walker Peer Specialist 1145 W Grand Blvd, Detroit, MI 48208-2336 2020-08-20
1487266441 Jeremiah Spears Jr. Peer Specialist 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2020-08-20
1740892603 Sheena Talanya Dalton Peer Specialist 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2020-08-20
Find all providers in DETROIT

Competitor

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City DETROIT
Zip Code 48201

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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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