Provider Demographics
NPI:1679218630
Name:DONNA ULRICH-TERMINI, PLLC
Entity Type:Organization
Organization Name:DONNA ULRICH-TERMINI, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ULRICH TERMINI
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:586-337-5661
Mailing Address - Street 1:52188 VAN DYKE AVE STE 307
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-3570
Mailing Address - Country:US
Mailing Address - Phone:586-337-5661
Mailing Address - Fax:
Practice Address - Street 1:52188 VAN DYKE AVE STE 307
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48316-3570
Practice Address - Country:US
Practice Address - Phone:586-337-5661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-03
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty