Healthcare Provider Details

I. General information

NPI: 1972008266
Provider Name (Legal Business Name): WORKIT HEALTH MI PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2018
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date: 07/09/2019
Reactivation Date: 08/29/2019

III. Provider practice location address

3300 WASHTENAW AVE STE 280
ANN ARBOR MI
48104-5184
US

IV. Provider business mailing address

PO BOX 96357
PHOENIX AZ
85072-6357
US

V. Phone/Fax

Practice location:
  • Phone: 734-329-5419
  • Fax: 855-716-4494
Mailing address:
  • Phone: 855-408-1143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICHOLE MCGRATH
Title or Position: CHIEF GROWTH OFFICER
Credential:
Phone: 989-372-8124