Healthcare Provider Details

I. General information

NPI: 1972421444
Provider Name (Legal Business Name): RUTHANN K HIRES LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RYAN HIRES LLMSW

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 W 11 MILE RD
ROYAL OAK MI
48067-2448
US

IV. Provider business mailing address

818 W 11 MILE RD
ROYAL OAK MI
48067-2448
US

V. Phone/Fax

Practice location:
  • Phone: 313-757-1918
  • Fax:
Mailing address:
  • Phone: 352-256-0327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851121653
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: