SHANTI COUNSELING SERVICES LLC NPI 1174706048

NPI Information

  • NPI: 1174706048
  • Provider Name: SHANTI COUNSELING SERVICES, LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Other Name: THERESA CALLARD-MOORE, ACSW
  • Address: 6199 MILLER RD
    SUITE A
    SWARTZ CREEK, MI
    ZIP 48473
  • Phone: (810) 630-0904

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NPI Details

SHANTI COUNSELING SERVICES, LLC is an adult mental health clinic center in Swartz Creek, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. SHANTI COUNSELING SERVICES, LLC NPI is 1174706048. The provider is registered as an organization entity type.
The provider Other Name Is Theresa Callard-moore, Acsw.

The provider's business location address is:

6199 MILLER RD
SUITE A
SWARTZ CREEK, MI
ZIP 48473-585
Phone: (810) 630-0904

The provider's authorized official is Theresa Marie Callard-moore .
The authorized official title is President and has the following contact phone number (810) 630-0904.

The enumeration date for this NPI number is 12/13/2007 and was last updated on 12/13/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental Health6801067098MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18008976950OTHERMICHIGANBLUE CROSS BLUE SHIELD
21235158627OTHERMICHIGANNPI
3ON94700MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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