Healthcare Provider Details

I. General information

NPI: 1902720006
Provider Name (Legal Business Name): KAELA HARNEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3880 ADAMS RD
OAKLAND MI
48363-2816
US

IV. Provider business mailing address

39425 DELLA ROSA DR
STERLING HEIGHTS MI
48313-5227
US

V. Phone/Fax

Practice location:
  • Phone: 248-726-3500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number6801122276
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: