Healthcare Provider Details

I. General information

NPI: 1053215988
Provider Name (Legal Business Name): SHERYL LITT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 OXBOW LAKE RD
WHITE LAKE MI
48386-2621
US

IV. Provider business mailing address

8020 WADI APT 304A
WHITE LAKE MI
48386-1373
US

V. Phone/Fax

Practice location:
  • Phone: 248-684-8085
  • Fax:
Mailing address:
  • Phone: 248-684-8085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6801065668
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: