Healthcare Provider Details

I. General information

NPI: 1558218172
Provider Name (Legal Business Name): CHRISTY ZACHOS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 HOGBACK RD STE 7A
ANN ARBOR MI
48105-8800
US

IV. Provider business mailing address

15601 PARKLANE ST
LIVONIA MI
48154-2356
US

V. Phone/Fax

Practice location:
  • Phone: 734-234-6920
  • Fax:
Mailing address:
  • Phone: 734-234-6920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6451024940
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: