Healthcare Provider Details

I. General information

NPI: 1174795553
Provider Name (Legal Business Name): SHEILA HOPPE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2008
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 W HOWELL RD
MASON MI
48854-9329
US

IV. Provider business mailing address

160 LAKE RIDGE DR
MASON MI
48854-8328
US

V. Phone/Fax

Practice location:
  • Phone: 517-367-0670
  • Fax: 517-367-0681
Mailing address:
  • Phone: 517-626-9086
  • Fax: 517-367-0681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4704314454
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6801087284
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: