Healthcare Provider Details

I. General information

NPI: 1396515847
Provider Name (Legal Business Name): AARON CHAPPEL LLMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2024
Last Update Date: 01/05/2024
Certification Date: 01/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 GRAND RIVER RD STE 290
BRIGHTON MI
48114-7340
US

IV. Provider business mailing address

7487 ARBORS BLVD
WEST BLOOMFIELD MI
48322-2841
US

V. Phone/Fax

Practice location:
  • Phone: 517-882-3732
  • Fax:
Mailing address:
  • Phone: 517-795-7091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851117091
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: