Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Deja Moore-Grant, LLPC

Individual provider Mental Health Counselor · NPI 1366165540

Deja Moore-Grant, LLPC is a Mental Health Counselor in Detroit, Michigan. Graduated from Wayne State University School of Medicine in 2022, 4 years ago. Licensed in Michigan.

Years since qualifying
4
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2022
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Practice location Address checks out

2939 Russell St
Detroit, MI 48207-4825
Phone: (313) 396-5300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6451022348 (MI)

Record details

NPI number1366165540
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLPC
Sole proprietorNo
NPI enumeratedSeptember 22, 2022
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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