Healthcare Provider Details

I. General information

NPI: 1134039217
Provider Name (Legal Business Name): SANSHERYON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28303 JOY RD
WESTLAND MI
48185-5524
US

IV. Provider business mailing address

17805 VINEYARD ST
BROWNSTOWN MI
48193-8811
US

V. Phone/Fax

Practice location:
  • Phone: 734-558-4911
  • Fax:
Mailing address:
  • Phone: 734-558-4911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. ANGELA SHERRON YOUNG
Title or Position: NURSE PRACTITIONER
Credential: DNP, PMHNP, ACNP
Phone: 734-558-4911