Provider Demographics
NPI:1225402886
Name:WHATLEY, STEVEN DOYLE I
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:DOYLE
Last Name:WHATLEY
Suffix:I
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 1:1423 FIELD AVE.
Mailing Address - Street 2:ADULT WELL BEING SERVICES
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48214
Mailing Address - Country:US
Mailing Address - Phone:313-347-2070
Mailing Address - Fax:313-579-1819
Practice Address - Street 1:1423 FIELD AVE.
Practice Address - Street 2:ADULT WELL BEING SERVICES
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48214
Practice Address - Country:US
Practice Address - Phone:313-347-2070
Practice Address - Fax:313-579-1819
Is Sole Proprietor?:No
Enumeration Date:2015-11-19
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISA0820461101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)