Healthcare Provider Details

I. General information

NPI: 1407720402
Provider Name (Legal Business Name): HANNAH CRANE
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2025
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32270 TELEGRAPH RD STE 120
BINGHAM FARMS MI
48025-2455
US

IV. Provider business mailing address

3747 LANE LAKE RD
BLOOMFIELD HILLS MI
48302-2928
US

V. Phone/Fax

Practice location:
  • Phone: 248-884-2662
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451024519
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: