Healthcare Provider Details

I. General information

NPI: 1891608543
Provider Name (Legal Business Name): APRIL HOLLIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 PITKIN ST
HIGHLAND PARK MI
48203-3737
US

IV. Provider business mailing address

20181 GALLAGHER ST
DETROIT MI
48234-1657
US

V. Phone/Fax

Practice location:
  • Phone: 313-865-1500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: