Healthcare Provider Details

I. General information

NPI: 1366352221
Provider Name (Legal Business Name): HANNAH ROSE WINSTANLEY LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1335 JOSLYN RD
LAKE ORION MI
48360-1133
US

IV. Provider business mailing address

1564 BAWTREE ST
WEST BLOOMFIELD MI
48324-3805
US

V. Phone/Fax

Practice location:
  • Phone: 248-693-5400
  • Fax: 248-693-5464
Mailing address:
  • Phone: 248-875-3393
  • Fax: 248-693-5464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number6851120494
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: