Healthcare Provider Details

I. General information

NPI: 1902293566
Provider Name (Legal Business Name): ELIZABETH ANN WOLFE LPC, N.C.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH FEMMININEO MA, LPC, NCC

II. Dates (important events)

Enumeration Date: 04/22/2015
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37000 GRAND RIVER AVE STE 280
FARMINGTON HILLS MI
48335-2887
US

IV. Provider business mailing address

37000 GRAND RIVER AVE STE 280
FARMINGTON MI
48335-2887
US

V. Phone/Fax

Practice location:
  • Phone: 248-475-6400
  • Fax: 248-475-6403
Mailing address:
  • Phone: 248-242-7943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6401014753
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: