Provider Demographics
NPI:1346077237
Name:STROZIER, DARRELL
Entity type:Individual
Prefix:
First Name:DARRELL
Middle Name:
Last Name:STROZIER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18932 HUBBELL ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-2756
Mailing Address - Country:US
Mailing Address - Phone:313-623-0445
Mailing Address - Fax:
Practice Address - Street 1:17515 W 9 MILE RD STE 755
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4422
Practice Address - Country:US
Practice Address - Phone:248-499-4312
Practice Address - Fax:248-286-5920
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451023354101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional