Healthcare Provider Details

I. General information

NPI: 1265055016
Provider Name (Legal Business Name): KIRA WHITNEY BURNETT LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2020
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38600 VAN DYKE AVE STE 101
STERLING HEIGHTS MI
48312-1171
US

IV. Provider business mailing address

29532 SOUTHFIELD RD STE 115
SOUTHFIELD MI
48076-2023
US

V. Phone/Fax

Practice location:
  • Phone: 313-312-4855
  • Fax:
Mailing address:
  • Phone: 313-312-4855
  • Fax: 313-355-7477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6801115687
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: