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

Samuel McCoy, CPRM

Individual provider Peer Specialist · NPI 1700702859

Samuel McCoy, CPRM is a Peer Specialist in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2026.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

2011 Clements St
Detroit, MI 48238-3484
Phone: (313) 962-9446
Fax: (313) 502-5147
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence M200758379939 (MI)

Record details

NPI number1700702859
Entity typeIndividual (Type 1)
GenderMale
Credentials CPRM
Sole proprietorNo
NPI enumeratedJune 24, 2026
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

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