Healthcare Provider Details

I. General information

NPI: 1386571768
Provider Name (Legal Business Name): ANNA FLORES LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12703 W 7 MILE RD
DETROIT MI
48235-1302
US

IV. Provider business mailing address

8367 SENATOR ST
DETROIT MI
48209-3415
US

V. Phone/Fax

Practice location:
  • Phone: 313-694-3886
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851119173
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: