Provider Demographics
NPI:1598268096
Name:KNIAHYMYCKY, JANET MILLER (LPC)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:MILLER
Last Name:KNIAHYMYCKY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JAN
Other - Middle Name:
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:3680 EDINBOROUGH DRIVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48306
Mailing Address - Country:US
Mailing Address - Phone:248-736-3755
Mailing Address - Fax:
Practice Address - Street 1:3680 EDINBOROUGH DRIVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48306
Practice Address - Country:US
Practice Address - Phone:248-736-3755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401007681101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional