Healthcare Provider Details

I. General information

NPI: 1982302014
Provider Name (Legal Business Name): FRANCES J. HICKS LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2023
Last Update Date: 02/17/2023
Certification Date: 02/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22190 GARRISON ST STE 204
DEARBORN MI
48124-2235
US

IV. Provider business mailing address

PO BOX 1601
DEARBORN MI
48121-1601
US

V. Phone/Fax

Practice location:
  • Phone: 734-730-0120
  • Fax:
Mailing address:
  • Phone: 313-595-8187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6451022831
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: