Shelby Qualls in Detroit - Addiction (substance Use Disorder)
Shelby Qualls - NPI 1194847749
Shelby Qualls is a Addiction (substance Use Disorder) in Detroit, Michigan. Shelby Qualls practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Shelby Qualls is 1194847749. The last update date is 2007-07-08.
Shelby Qualls's current location address is 8809 John C Lodge, Detroit, Michigan. You can contact this provider via phone number 3138876737 and fax number 3138760532. The mailing address for Shelby Qualls is 8809 John C Lodge, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelby Qualls |
|---|---|
| Address | 8809 John C Lodge, Detroit, Michigan |
| Phone Number | 3138876737 |
| Fax Number | 3138760532 |
| Sole Proprietor | N |
| Credentials | CAC-1 |
NPI Number Detail
| NPI Number | 1194847749 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8809 John C Lodge |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 48224 |
| Phone Number | 3138876737 |
| Fax Number | 3138760532 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 820080 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shelby Qualls by the Centers for Medicare & Medicaid Services?
The Shelby Qualls has been assigned the NPI (National Provider Identifier) 1194847749 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Shelby Qualls?
The Shelby Qualls is physically situated at 8809 John C Lodge, in the city of Detroit, state of MI, with the postal code 48224.
What is Shelby Qualls's area of expertise and its corresponding taxonomy classification?
The Shelby Qualls's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
On what date did Shelby Qualls receive its 1194847749 assignment from the Centers for Medicare & Medicaid Services?
The Shelby Qualls was assigned its 1194847749 on 2007-04-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Shelby Qualls, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shelby Qualls, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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