Healthcare Provider Details

I. General information

NPI: 1326962283
Provider Name (Legal Business Name): CHEYANE NICHOLE RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 CAMBRIDGE CT STE 219
AUBURN HILLS MI
48326-2514
US

IV. Provider business mailing address

4670 MAYBEE RD
CLARKSTON MI
48348-5122
US

V. Phone/Fax

Practice location:
  • Phone: 248-781-5290
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6451025228
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: