MEDICARE: DARE TO BE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1104753342
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DARE TO BE LLC

Provider Business Mailing Address
First Line	:	PO BOX 223
Second Line	:
City	:	DEXTER
State	:	MI
Zip	:	48130-0223
Country	:	US
Telephone Number	:	734-560-8534
Fax Number	:

Provider Business Practice Location Address
First Line	:	137 VILLAGE WAY
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48188-3449
Country	:	US
Telephone Number	:	734-560-8534
Fax Number	:

Authorized Official
Title or Position	:	CO-FOUNDER
Name	:	KAYLA LYNN DOUGLAS
Credential	:	LMSW
Telephone Number	:	734-560-8534

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1982531711 — KAYLA LYNN DOUGLAS LMSW
Practice Location Address:

137 VILLAGE WAY
CANTON, MI
48188-3449

Practice Phone: 734-560-8534
Practice Fax:

1164350658 — HEARTSTEAD HOME CARE LLC
Practice Location Address:

41021 OLD MICHIGAN AVE TRLR 221
CANTON, MI
48188-2728

Practice Phone: 248-200-6168
Practice Fax:

1629789292 — SARAH SABAH
Practice Location Address:

45540 MICHIGAN AVE
CANTON, MI
48188-2472

Practice Phone: 734-397-2560
Practice Fax: 734-397-2691

1275100331 — SHERYL KELLY BACKEBERG PH.D., LP
Practice Location Address:

46036 MICHIGAN AVE # 310
CANTON, MI
48188-2304

Practice Phone: 734-336-0263
Practice Fax:

1437089208 — LAMEECE METWALLY
Practice Location Address:

43592 CHAMPLAIN CT
CANTON, MI
48188-1711

Practice Phone: 734-822-9990
Practice Fax:

Directions to “DARE TO BE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.