Healthcare Provider Details

I. General information

NPI: 1326576141
Provider Name (Legal Business Name): HEATHER HUTCHINSON MS, MSW, LMSW, CAADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER THOMAS

II. Dates (important events)

Enumeration Date: 05/24/2017
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 S HURON PKWY STE 2B
ANN ARBOR MI
48104-5133
US

IV. Provider business mailing address

2301 S HURON PKWY STE 2B
ANN ARBOR MI
48104-5133
US

V. Phone/Fax

Practice location:
  • Phone: 734-725-8802
  • Fax:
Mailing address:
  • Phone: 734-725-8802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCAADC-D
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801119031
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: