Gabrielle Deshazor, cpss
Peer Specialist in Taylor, MI. Individual provider (NPI-1).
NPI number1669935318
StatusActive
Last updated in NPPESApr 10, 2019
Details
- NPI
- 1669935318
- Entity type
- Individual (NPI-1)
- Name
- Gabrielle Deshazor
- Credential
- cpss
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 10, 2019
- Last updated
- Apr 10, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
21501 Goddard RdTaylor, MI 48180-4247
Phone 734-250-7943 · Fax 734-785-8346
Mailing address
21501 Goddard RdTaylor, MI 48180-4247
Phone 734-250-7943 · Fax 734-785-8346
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 7 Peer Specialist providers in Taylor · All 1,302 providers in Taylor
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