| Doctor Name: | AMENA RATHUR |
| NPI Number: | 1639102189 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LLMSW |
| License Number: | 6802083176 |
| Business Practice Address: | 2122 15 Mile Rd Suite B Sterling Hts, MI - 483104853 |
| Business Phone Number: | 5862643692 |
| Business Fax Number: | 5869395953 |
| Mailing Address: | 2122 15 Mile Rd, Suite B STERLING HTS |
| State: | MI |
| Postal Code: | 483104853 |
| Phone Number: | 5862643692 |
| Fax Number: | 5869395953 |
| NPI Enumeration Date: | 07/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6802083176 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |