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HEALING WATERS COUNSELING SERVICESPLLC NPI 1457890014


NPI Information

NPI: 1457890014
Provider Name: HEALING WATERS COUNSELING SERVICES,PLLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
29556 SOUTHFIELD RD
SOUTHFIELD, MI
ZIP 48076
Phone: (248) 480-1826
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HEALING WATERS COUNSELING SERVICES,PLLC is a professional counselor in Southfield, MI. HEALING WATERS COUNSELING SERVICES,PLLC NPI is 1457890014. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

29556 SOUTHFIELD RD
SOUTHFIELD, MI
ZIP 48076-021
Phone: (248) 480-1826
Fax: (313) 521-1902

The provider's authorized official is Kelly Angel Mcghee .
The authorized official title is Owner and has the following contact phone number (248) 480-1246.

The enumeration date for this NPI number is 2/15/2017 and was last updated on 2/15/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessional6401009379MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11386025948MEDICAIDMICHIGAN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.