Provider Demographics
NPI:1790026755
Name:PYRAMID COUNSELING & CONSULTATION LLC
Entity Type:Organization
Organization Name:PYRAMID COUNSELING & CONSULTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ALIYAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MASUDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-657-2763
Mailing Address - Street 1:2035 HOGBACK RD
Mailing Address - Street 2:207
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9732
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2035 HOGBACK RD
Practice Address - Street 2:207
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9732
Practice Address - Country:US
Practice Address - Phone:734-657-2763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801085903251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health