Provider Demographics
NPI:1588237820
Name:MONROE PSYCHOLOGY
Entity Type:Organization
Organization Name:MONROE PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABIR
Authorized Official - Middle Name:
Authorized Official - Last Name:MARASHI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:313-598-1383
Mailing Address - Street 1:1727 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-2914
Mailing Address - Country:US
Mailing Address - Phone:313-598-1383
Mailing Address - Fax:888-599-0120
Practice Address - Street 1:1727 MONROE ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2914
Practice Address - Country:US
Practice Address - Phone:313-598-1383
Practice Address - Fax:888-599-0120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-23
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty