Healthcare Provider Details

I. General information

NPI: 1447114301
Provider Name (Legal Business Name): AISHA WILKINS PHD,LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14014 GLASTONBURY AVE
DETROIT MI
48223-2922
US

IV. Provider business mailing address

14014 GLASTONBURY AVE
DETROIT MI
48223-2922
US

V. Phone/Fax

Practice location:
  • Phone: 313-702-5414
  • Fax:
Mailing address:
  • Phone: 313-231-3702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6401225692
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: