Healthcare Provider Details

I. General information

NPI: 1972448041
Provider Name (Legal Business Name): ERIN BRADLEY LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 W LIBERTY RD
ANN ARBOR MI
48103-9746
US

IV. Provider business mailing address

9409 N HAGGERTY RD
PLYMOUTH MI
48170-4696
US

V. Phone/Fax

Practice location:
  • Phone: 734-559-3540
  • Fax:
Mailing address:
  • Phone: 734-559-3540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451024944
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: