Organization Name: | UNITY COUNSELING CLINIC PC |
NPI Number: | 1003261611 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NADIA SULTANI (SOCIAL WORKER) |
Mailing Address: | 13938 Inkster Rd St 400 Redford |
State: | MI US |
Postal Code: | 482393038 |
Phone Number: | 3134104078 |
Fax Number: | 3135376455 |
NPI Enumeration Date: | 05/02/2016 |
NPI Last Update Date: | 06/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6401014727 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |