Healthcare Provider Details

I. General information

NPI: 1487566634
Provider Name (Legal Business Name): NICOLE KAPLAN LLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2B S WASHINGTON ST
OXFORD MI
48371-4971
US

IV. Provider business mailing address

3561 TALL OAKS RD
LAKE ORION MI
48359-1470
US

V. Phone/Fax

Practice location:
  • Phone: 248-834-0614
  • Fax:
Mailing address:
  • Phone: 248-514-2149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451025307
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: