Healthcare Provider Details

I. General information

NPI: 1326957929
Provider Name (Legal Business Name): ANNA JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11202 HIGHLAND RD
HARTLAND MI
48353-2704
US

IV. Provider business mailing address

5540 BENTLEY LAKE RD
HOWELL MI
48843-7905
US

V. Phone/Fax

Practice location:
  • Phone: 810-746-9091
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851118165
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: