MEDICARE: ELIZABETH ANN WOLFE M.A., N.C.C.

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	6401014753	MI

General Provider Information

NPI Number	:	1902293566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ANN WOLFE M.A., N.C.C.

Provider Business Mailing Address
First Line	:	9134 COUNTRYWOOD DR
Second Line	:
City	:	PLYMOUTH
State	:	MI
Zip	:	48170-5726
Country	:	US
Telephone Number	:	248-930-7965
Fax Number	:

Provider Business Practice Location Address
First Line	:	37000 GRAND RIVER AVE STE 280
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48335-2887
Country	:	US
Telephone Number	:	248-475-6400
Fax Number	:	248-475-6403

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

Provider Enumeration Date	:	04/22/2015
Last Update Date	:	04/06/2026

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