Healthcare Provider Details

I. General information

NPI: 1821798661
Provider Name (Legal Business Name): BRIA HUTCHINS LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2023
Last Update Date: 03/09/2023
Certification Date: 03/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2995 E GRAND BLVD
DETROIT MI
48202-3133
US

IV. Provider business mailing address

25540 SAINT JAMES
SOUTHFIELD MI
48075-1248
US

V. Phone/Fax

Practice location:
  • Phone: 313-686-5802
  • Fax:
Mailing address:
  • Phone: 313-685-5802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6451022788
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: