Healthcare Provider Details

I. General information

NPI: 1568390599
Provider Name (Legal Business Name): MARGARETT MARSHALL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BETH MARSHALL

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2155 JACKSON AVE
ANN ARBOR MI
48103-3976
US

IV. Provider business mailing address

2155 JACKSON AVE
ANN ARBOR MI
48103-3976
US

V. Phone/Fax

Practice location:
  • Phone: 734-645-8944
  • Fax: 734-864-7718
Mailing address:
  • Phone: 734-645-8944
  • Fax: 734-864-7718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451024217
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: