Provider Demographics
NPI:1821337635
Name:BANYAI, DENISE FANNY (LPC)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:FANNY
Last Name:BANYAI
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:FANNY
Other - Last Name:BARTLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:4383 PINE TREE TRL
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-1859
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:26111 W 14 MILE RD STE 200A
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MI
Practice Address - Zip Code:48025-1171
Practice Address - Country:US
Practice Address - Phone:248-421-6669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-14
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013423101YP2500X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional