MEDICARE: MAYA ANN ALLEN

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	101Y00000X	Counselor		MI

General Provider Information

NPI Number	:	1164374567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAYA ANN ALLEN

Provider Business Mailing Address
First Line	:	3780 WISNER HWY
Second Line	:
City	:	ADRIAN
State	:	MI
Zip	:	49221-9278
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1460 WALTON BLVD STE 60
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-1729
Country	:	US
Telephone Number	:	248-608-4514
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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Directions to “ MAYA ANN ALLEN ” Practice Location

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