Provider Demographics
NPI:1285412627
Name:FAHS, HANADI (LMSW, LCSW)
Entity type:Individual
Prefix:
First Name:HANADI
Middle Name:
Last Name:FAHS
Suffix:
Gender:F
Credentials:LMSW, LCSW
Other - Prefix:
Other - First Name:HANADI
Other - Middle Name:
Other - Last Name:DAHOUI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7005 CATHEDRAL DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-3729
Mailing Address - Country:US
Mailing Address - Phone:313-433-1039
Mailing Address - Fax:
Practice Address - Street 1:7005 CATHEDRAL DR
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48301-3729
Practice Address - Country:US
Practice Address - Phone:313-433-1039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010969511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical