Provider Demographics
NPI:1164815171
Name:NADIA SELAMEH
Entity Type:Organization
Organization Name:NADIA SELAMEH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SELAMEH
Authorized Official - Suffix:
Authorized Official - Credentials:LLPC
Authorized Official - Phone:734-858-8252
Mailing Address - Street 1:6200 N WAYNE RD APT 318
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-7111
Mailing Address - Country:US
Mailing Address - Phone:734-858-8252
Mailing Address - Fax:
Practice Address - Street 1:6200 N WAYNE RD APT 318
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-7111
Practice Address - Country:US
Practice Address - Phone:734-858-8252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-15
Last Update Date:2015-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health