Healthcare Provider Details

I. General information

NPI: 1578122156
Provider Name (Legal Business Name): NATAKI NJERI KAFI ASHAKI-MAHLULI LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2019
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 E BIG BEAVER RD STE 200
TROY MI
48083-1434
US

IV. Provider business mailing address

625 E BIG BEAVER RD STE 200
TROY MI
48083-1434
US

V. Phone/Fax

Practice location:
  • Phone: 586-863-4000
  • Fax:
Mailing address:
  • Phone: 586-863-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851110631
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: