Healthcare Provider Details

I. General information

NPI: 1326902131
Provider Name (Legal Business Name): NICOLE FRASIER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2835 CARPENTER RD STE 5
ANN ARBOR MI
48108-1172
US

IV. Provider business mailing address

17444 RAY ST
RIVERVIEW MI
48193-6615
US

V. Phone/Fax

Practice location:
  • Phone: 734-225-1113
  • Fax:
Mailing address:
  • Phone: 734-552-3188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICOLE FRASIER
Title or Position: OWNER
Credential:
Phone: 734-552-3188