Provider Demographics
NPI:1952139560
Name:COUNSELING INSTITUTE OF MICHIGAN PLC
Entity type:Organization
Organization Name:COUNSELING INSTITUTE OF MICHIGAN PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZEINAB
Authorized Official - Middle Name:
Authorized Official - Last Name:RAISHOUNI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:313-929-7770
Mailing Address - Street 1:335 MOHAWK ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-1323
Mailing Address - Country:US
Mailing Address - Phone:313-929-7770
Mailing Address - Fax:
Practice Address - Street 1:835 MASON ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2231
Practice Address - Country:US
Practice Address - Phone:313-929-7770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNSELING INSTITUTE OF MICHIGAN PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty