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NPI Code Detail

MEDICARE: SHEKINAH IMAN HALE

MEDICARE: SHEKINAH IMAN HALE
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
1106S00000XBehavior TechnicianMI

General Provider Information

NPI Number : 1396604955
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEKINAH IMAN HALE
Provider Business Mailing Address
First Line : 19541 CRANBROOK DR APT 206
Second Line :
City : DETROIT
State : MI
Zip : 48221-1574
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20700 CIVIC CENTER DR STE 110
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48076-4102
Country : US
Telephone Number : 800-385-1035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2026
Last Update Date : 01/20/2026

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Directions to “ SHEKINAH IMAN HALE ” Practice Location

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