Healthcare Provider Details

I. General information

NPI: 1730099078
Provider Name (Legal Business Name): LEAF CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 WASHTENAW AVE STE 22
ANN ARBOR MI
48104-4524
US

IV. Provider business mailing address

2350 WASHTENAW AVE STE 22
ANN ARBOR MI
48104-4524
US

V. Phone/Fax

Practice location:
  • Phone: 734-210-1710
  • Fax: 734-228-0593
Mailing address:
  • Phone: 734-210-1710
  • Fax: 734-228-0593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: CARTER PHILIP DOYLE
Title or Position: PRESIDENT
Credential: PMHNP-BC
Phone: 734-210-1710