Healthcare Provider Details

I. General information

NPI: 1104775949
Provider Name (Legal Business Name): INNER SAGE THERAPY AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4161 THORNOAKS DR
ANN ARBOR MI
48104-4255
US

IV. Provider business mailing address

206 S DENWOOD ST
DEARBORN MI
48124-1377
US

V. Phone/Fax

Practice location:
  • Phone: 313-520-3377
  • Fax:
Mailing address:
  • Phone: 313-520-3377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: JAMIE GARRISON
Title or Position: OWNER
Credential: MSW, LLMSW
Phone: 313-520-3377