Healthcare Provider Details

I. General information

NPI: 1073430872
Provider Name (Legal Business Name): ZAHRAA HASSOUN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 MASON ST
DEARBORN MI
48124-2231
US

IV. Provider business mailing address

5129 STEADMAN ST
DEARBORN MI
48126-3034
US

V. Phone/Fax

Practice location:
  • Phone: 248-788-6873
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6851121144
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: