NPI Code Details Logo

NPI 1285574343

NPI 1285574343 : CIRCLE OF HOPE PHP PLLC : DAVISON, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1285574343
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CIRCLE OF HOPE PHP PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/30/2026
-----------------------------------------------------
    Last Update Date     |    03/30/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    9171 LAPEER RD STE 200 
-----------------------------------------------------
    City                 |    DAVISON
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48423-3617
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    810-391-8921
-----------------------------------------------------
    Fax                  |    810-214-1753
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    9171 LAPEER RD STE 200 
-----------------------------------------------------
    City                 |    DAVISON
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48423-3617
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    810-391-8921
-----------------------------------------------------
    Fax                  |    810-214-1753
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     MOHAMMAD  JAFFERANY 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    989-791-2455
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.