Mr Damon Renard Terrell, LICENSED PROFESSIONA is a
Counselor - Mental Health based in Southville, Michigan. Mr Damon Renard Terrell is licensed to practice in Michigan (license number 6401010711) and his current practice location is
22350 Lucerne Drive, Apt 201, Southville, Michigan. He can be reached at his office (for appointments etc.) via phone at
(313) 433-1174.
NPI number for Mr Damon Renard Terrell is 1649654336 and his current mailing address is 22350 Lucerne Drive, Apt 201, Southfieild, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649654336.
Healthcare Provider's Profile
Full Name | Mr Damon Renard Terrell |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 22350 Lucerne Drive, Southville, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649654336
- Provider Enumeration Date: 07/13/2015
- Last Update Date: 07/13/2015
Medical Identifiers
Medical identifiers for Mr Damon Renard Terrell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649654336 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 6401010711 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Damon Renard Terrell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Damon Renard Terrell, LICENSED PROFESSIONA 22350 Lucerne Drive, Apt 201, Southfieild, MI 48075 Ph: (313) 433-1174 | Mr Damon Renard Terrell, LICENSED PROFESSIONA 22350 Lucerne Drive, Apt 201, Southville, MI 48075 Ph: (313) 433-1174 |
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