Healthcare Provider Details

I. General information

NPI: 1477607216
Provider Name (Legal Business Name): KHALEA DORIONNE FOY LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N TELEGRAPH RD STE 300
PONTIAC MI
48341-1039
US

IV. Provider business mailing address

12160 KINLOCH
REDFORD MI
48239-2510
US

V. Phone/Fax

Practice location:
  • Phone: 248-744-3658
  • Fax:
Mailing address:
  • Phone: 313-574-5809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801082427
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: