Provider Demographics
NPI:1093312613
Name:GUARDING THERAPY & COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:GUARDING THERAPY & COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:GODFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUWA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, FSAC
Authorized Official - Phone:313-286-3859
Mailing Address - Street 1:26847 GRAND RIVER AVE STE 24
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48240-1544
Mailing Address - Country:US
Mailing Address - Phone:313-286-3859
Mailing Address - Fax:313-766-4302
Practice Address - Street 1:26847 GRAND RIVER AVE STE 24
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48240-1544
Practice Address - Country:US
Practice Address - Phone:313-286-3859
Practice Address - Fax:313-766-4302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health