Healthcare Provider Details

I. General information

NPI: 1376339804
Provider Name (Legal Business Name): ARIANNA STEPHENS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2025
Last Update Date: 04/21/2025
Certification Date: 04/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 S STATE ST
ANN ARBOR MI
48104-6179
US

IV. Provider business mailing address

540 THOMPSON ST # 5058
ANN ARBOR MI
48104-2414
US

V. Phone/Fax

Practice location:
  • Phone: 734-662-6300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: