Provider Demographics
NPI:1215028774
Name:AHARONI, ELEANOR (MA LMSW CAC1 SAP)
Entity Type:Individual
Prefix:MRS
First Name:ELEANOR
Middle Name:
Last Name:AHARONI
Suffix:
Gender:F
Credentials:MA LMSW CAC1 SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5745 W MAPLE ROAD
Mailing Address - Street 2:SUITE 211
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322
Mailing Address - Country:US
Mailing Address - Phone:248-626-2323
Mailing Address - Fax:248-626-2927
Practice Address - Street 1:5745 W MAPLE ROAD
Practice Address - Street 2:SUITE 211
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322
Practice Address - Country:US
Practice Address - Phone:248-626-2323
Practice Address - Fax:248-626-2927
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801016788 LMSW103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling