Healthcare Provider Details

I. General information

NPI: 1407765795
Provider Name (Legal Business Name): ANNAH MARIE VERNIER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 E LAKEVILLE RD
OXFORD MI
48371-5253
US

IV. Provider business mailing address

9428 SASHABAW RD
CLARKSTON MI
48348-2026
US

V. Phone/Fax

Practice location:
  • Phone: 248-969-1800
  • Fax:
Mailing address:
  • Phone: 248-210-7317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number6851116541
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: