Provider Demographics
NPI:1376687566
Name:NIENHAUS, SHERYL ANN (LPC)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:ANN
Last Name:NIENHAUS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24394 POWER RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-1786
Mailing Address - Country:US
Mailing Address - Phone:248-471-3284
Mailing Address - Fax:
Practice Address - Street 1:43902 WOODWARD AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-5011
Practice Address - Country:US
Practice Address - Phone:248-338-1700
Practice Address - Fax:248-335-1732
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401008528101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional