Healthcare Provider Details

I. General information

NPI: 1992600266
Provider Name (Legal Business Name): MRS. SONIA MARIE SEAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23800 W 10 MILE RD
SOUTHFIELD MI
48033-3176
US

IV. Provider business mailing address

23800 W 10 MILE RD
SOUTHFIELD MI
48033-3176
US

V. Phone/Fax

Practice location:
  • Phone: 734-444-8512
  • Fax: 313-742-8431
Mailing address:
  • Phone: 734-444-8512
  • Fax: 313-742-8431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number145795
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: