Healthcare Provider Details

I. General information

NPI: 1457570160
Provider Name (Legal Business Name): JULIE OHANA MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 09/28/2023
Certification Date: 09/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32905 W 12 MILE RD STE 310
FARMINGTON HILLS MI
48334-3345
US

IV. Provider business mailing address

32905 W 12 MILE RD STE 310
FARMINGTON HILLS MI
48334-3345
US

V. Phone/Fax

Practice location:
  • Phone: 248-296-3104
  • Fax:
Mailing address:
  • Phone: 248-296-3104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6801085742
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: