Healthcare Provider Details

I. General information

NPI: 1831041664
Provider Name (Legal Business Name): OAKS PSYCHOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6060 STONEY VIEW DR STE 200
SHELBY TOWNSHIP MI
48316-4970
US

IV. Provider business mailing address

6060 STONEY VIEW DR STE 200
SHELBY TOWNSHIP MI
48316-4970
US

V. Phone/Fax

Practice location:
  • Phone: 517-282-5427
  • Fax:
Mailing address:
  • Phone: 517-282-5427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JULIANNE RANDALL-MESSENGER
Title or Position: CLINICAL SOCIAL WORKER
Credential: LMSW
Phone: 517-282-5427