Healthcare Provider Details

I. General information

NPI: 1700624996
Provider Name (Legal Business Name): NRARH MI PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2024
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8104 STRATHMOOR ST
DETROIT MI
48228-2496
US

IV. Provider business mailing address

8104 STRATHMOOR ST
DETROIT MI
48228-2496
US

V. Phone/Fax

Practice location:
  • Phone: 734-447-3477
  • Fax:
Mailing address:
  • Phone: 317-563-1117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHANTEL WHITE
Title or Position: CO-OWNER
Credential:
Phone: 317-563-1117