| Doctor Name: | MS. VENUS LOUGE SAGE |
| NPI Number: | 1023124427 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SPA MA UPC CACU |
| License Number: | 6401004201 |
| Business Practice Address: | 2300 Genoa Business Park Dr Ste 180 Brighton, MI - 481147374 |
| Business Phone Number: | 8102202787 |
| Business Fax Number: | |
| Mailing Address: | 11489 Koth Dr, LINDEN |
| State: | MI |
| Postal Code: | 484519620 |
| Phone Number: | 8107354631 |
| Fax Number: | |
| NPI Enumeration Date: | 08/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6401004201 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |