Gretchen Marie Hart, MA, LLP,LPC, CAADC
Individual provider Active NPI Professional Counselor · Wixom, MI
NPI 1164513164 · NPPES record last updated May 3, 2022
Key facts
- NPI
- 1164513164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6401003560 (MI)
- Practice address
- 29335 Wall St
Wixom, MI 48393-3529 - Phone
- (248) 770-6499
- Fax
- (248) 385-2964
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401003560 | MI | MD | Professional Counselor |
| 6301008426 | MI | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301008426 | MI | |
| Professional Counselor | 101YP2500X | 6401003560 | MI | Yes |
Addresses
Primary practice location
29335 Wall St
Wixom, MI 48393-3529
Mailing address
10708 Kenicott TRL
Brighton, MI 48114-9075
Phone (248) 770-6499
Other providers in Wixom, MI
- Grounded in Grace Counseling PLLC
- Robert Lee Gustitus
- Farah Gabrial Hado
- Harbor Oxygen of Southeast Mi, LLC
- Kira Elise Harris
- Artenisa Hatija
- Health Net Connect Inc
- Jennifer Louise Heinz
- Helping You Hear Center, Inc.
- Carolyn Hennessey-Wood
All providers in Wixom, MI · Professional Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.