Healthcare Provider Details

I. General information

NPI: 1063329043
Provider Name (Legal Business Name): ANKITA GADRE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 EMMETT ST W
BATTLE CREEK MI
49037-2963
US

IV. Provider business mailing address

181 EMMETT ST W
BATTLE CREEK MI
49037-2963
US

V. Phone/Fax

Practice location:
  • Phone: 269-965-8866
  • Fax:
Mailing address:
  • Phone: 269-965-8866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6451023980
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: