Healthcare Provider Details

I. General information

NPI: 1164988754
Provider Name (Legal Business Name): ARIANNA HISKES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2019
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 S MAIN ST
ANN ARBOR MI
48104-2304
US

IV. Provider business mailing address

694 W CHICAGO RD
COLDWATER MI
49036-8405
US

V. Phone/Fax

Practice location:
  • Phone: 517-279-8866
  • Fax: 517-924-1816
Mailing address:
  • Phone: 517-279-8866
  • Fax: 517-924-1816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451023940
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: