Healthcare Provider Details

I. General information

NPI: 1437604311
Provider Name (Legal Business Name): KAREN BELLE CHW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2016
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8620 WHITEFIELD ST
DEARBORN HEIGHTS MI
48127-1135
US

IV. Provider business mailing address

8620 WHITEFIELD ST
DEARBORN HEIGHTS MI
48127-1135
US

V. Phone/Fax

Practice location:
  • Phone: 313-397-5619
  • Fax:
Mailing address:
  • Phone: 313-397-5619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: