Healthcare Provider Details

I. General information

NPI: 1972448801
Provider Name (Legal Business Name): RENEE M ANDERSON-DRAP LLMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8970 HURON BLUFFS DR
WHITE LAKE MI
48386-4606
US

IV. Provider business mailing address

8970 HURON BLUFFS DR
WHITE LAKE MI
48386-4606
US

V. Phone/Fax

Practice location:
  • Phone: 248-818-7802
  • Fax:
Mailing address:
  • Phone: 248-818-7802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number4151001218
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: