Provider Demographics
NPI:1073269833
Name:SS COUNSELING AND CONSULTING SERVICES, PLLC
Entity Type:Organization
Organization Name:SS COUNSELING AND CONSULTING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEMAA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHLEBAH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:313-338-6964
Mailing Address - Street 1:PO BOX 1676
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48121-1676
Mailing Address - Country:US
Mailing Address - Phone:313-338-6964
Mailing Address - Fax:
Practice Address - Street 1:23756 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-1853
Practice Address - Country:US
Practice Address - Phone:313-338-6964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-01
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty