Individual ProviderJustin DoudSocial WorkerBehavioral Health & Social Service ProvidersPractice Address22170 W 9 Mile Rd, Southfield, MI 48033-6007(248) 372-5070(248) 251-6309PECOS EnrollmentBased on the most recent information from CMS, provider Justin Doud does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1134579089Provider TypeIndividualFull NameDoud, JustinCredentialLMSWGenderMaleSole ProprietorYesEnumeration Date6/21/2016Last Updated7/21/2022Contact InformationPractice LocationPractice Address22170 W 9 Mile Rd, Southfield, MI 48033-6007Phone(248) 372-5070FaxUnlisted FaxMailing LocationMailing Address22170 W 9 Mile Rd, Southfield, MI 48033-6007Phone(248) 251-6309Fax(248) 945-9280Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense68011044238MichiganCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6801099455Michigan