Healthcare Provider Details

I. General information

NPI: 1144628082
Provider Name (Legal Business Name): HANA CALL MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2014
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 WEST ST STE 2225
CEDAR SPRINGS MI
49319-9699
US

IV. Provider business mailing address

10850 E TRAVERSE HWY STE 2225
TRAVERSE CITY MI
49684-1363
US

V. Phone/Fax

Practice location:
  • Phone: 180-064-5473
  • Fax: 231-525-3170
Mailing address:
  • Phone: 800-645-4737
  • Fax: 231-525-3170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number7401000876
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: