Individual provider · Type 1 NPI

Nicole Lynn Scully

Peer Specialist · Southgate, MI

NPI number 1992354039 Active

Practice location

13101 Allen Rd
Southgate, MI 48195-2216

Call (734) 785-7700 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1992354039

Nicole Lynn Scully's National Provider Identifier is 1992354039, issued on Sep 11, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Southgate, MI. The record was last updated on Aug 19, 2025.