Healthcare Provider Details

I. General information

NPI: 1174437875
Provider Name (Legal Business Name): MIRACLE HELPING HANDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15469 ROSSINI DR
DETROIT MI
48205-2054
US

IV. Provider business mailing address

15469 ROSSINI DR
DETROIT MI
48205-2054
US

V. Phone/Fax

Practice location:
  • Phone: 313-708-6102
  • Fax:
Mailing address:
  • Phone: 313-708-6102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: KIERA WOODARD
Title or Position: OWNER
Credential:
Phone: 313-708-6102