| Organization Name: | KOMRAUS COMPASSIONATE COUNSELING PLLC |
| NPI Number: | 1053748814 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BERNICE ELEANOR KOMRAUS (PRESIDENT) |
| Mailing Address: | 47100 Schoenherr Rd Ste B Shelby Twp |
| State: | MI US |
| Postal Code: | 483154716 |
| Phone Number: | 5862436655 |
| Fax Number: | 5867377057 |
| NPI Enumeration Date: | 10/10/2013 |
| NPI Last Update Date: | 10/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401007208 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |