Provider Demographics
NPI:1508007634
Name:TAPSON-HART, ADRIENNE (MA, LPC, NCC, LBSW)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:
Last Name:TAPSON-HART
Suffix:
Gender:F
Credentials:MA, LPC, NCC, LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 BOULDER LAKE DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48371-3654
Mailing Address - Country:US
Mailing Address - Phone:248-709-8773
Mailing Address - Fax:
Practice Address - Street 1:515 BOULDER LAKE DR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MI
Practice Address - Zip Code:48371-3654
Practice Address - Country:US
Practice Address - Phone:248-709-8773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-19
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802080794104100000X
MI6401006445101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker