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

Mr. Thornton W.e.d. Walls III, CPSS

Individual provider Peer Specialist · NPI 1972382612

Mr. Thornton W.e.d. Walls III, CPSS is a Peer Specialist in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023

Practice location Address checks out

12010 Linwood St
Detroit, MI 48206-1108
Phone: (313) 867-1090
Fax: (313) 867-0706
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (MI)

Record details

NPI number1972382612
Entity typeIndividual (Type 1)
GenderMale
Credentials CPSS
Sole proprietorYes
NPI enumeratedSeptember 22, 2023
Last updated in NPPESSeptember 22, 2023
Certification dateSeptember 22, 2023

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