Healthcare Provider Details
I. General information
NPI: 1124957550
Provider Name (Legal Business Name): NIDO THERAPY COLLECTIVE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3280 ANN ARBOR SALINE RD APT 205
ANN ARBOR MI
48103-9842
US
IV. Provider business mailing address
3280 ANN ARBOR SALINE RD APT 205
ANN ARBOR MI
48103-9842
US
V. Phone/Fax
- Phone: 646-522-4406
- Fax:
- Phone: 646-522-4406
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CARA
COLAO
Title or Position: MENTAL HEALTH THERAPIST
Credential:
Phone: 646-522-4406