Healthcare Provider Details

I. General information

NPI: 1285574343
Provider Name (Legal Business Name): CIRCLE OF HOPE PHP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9171 LAPEER RD STE 200
DAVISON MI
48423-3617
US

IV. Provider business mailing address

9171 LAPEER RD STE 200
DAVISON MI
48423-3617
US

V. Phone/Fax

Practice location:
  • Phone: 810-391-8921
  • Fax: 810-214-1753
Mailing address:
  • Phone: 810-391-8921
  • Fax: 810-214-1753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMAD JAFFERANY
Title or Position: OWNER
Credential:
Phone: 989-791-2455