Healthcare Provider Details

I. General information

NPI: 1558192385
Provider Name (Legal Business Name): MICHIGAN LANGUAGE CRAFTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2024
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 W SHIAWASSEE AVE # 114
FENTON MI
48430-2093
US

IV. Provider business mailing address

10498 CARMER RD
FENTON MI
48430-2410
US

V. Phone/Fax

Practice location:
  • Phone: 248-780-9030
  • Fax: 810-776-3622
Mailing address:
  • Phone: 248-202-9061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RACHAEL IAQUINTO
Title or Position: OWNER/CLINICAL DIRECTOR
Credential:
Phone: 248-780-9030