Healthcare Provider Details

I. General information

NPI: 1437932217
Provider Name (Legal Business Name): ANDREW RIGBY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2023
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 FOREST AVE
PLYMOUTH MI
48170-1740
US

IV. Provider business mailing address

27085 GRATIOT AVE STE 101
ROSEVILLE MI
48066-2984
US

V. Phone/Fax

Practice location:
  • Phone: 248-470-6149
  • Fax:
Mailing address:
  • Phone: 586-204-5560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851119829
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: