Basic Information
| Provider Information | |||||||||
| NPI: | 1265985568 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MEAH COUNSELING, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1718 NEWPORT CREEK DR | ||||||||
| Address2: | |||||||||
| City: | ANN ARBOR | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481032207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7343279721 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5958 CANTON CENTER RD. | ||||||||
| Address2: | SUITE 900 | ||||||||
| City: | CANTON | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48187 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7347371200 | ||||||||
| FaxNumber: | 7347371205 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/03/2016 | ||||||||
| LastUpdateDate: | 08/03/2016 | ||||||||
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| AuthorizedOfficialLastName: | MEAH | ||||||||
| AuthorizedOfficialFirstName: | NASREEN | ||||||||
| AuthorizedOfficialMiddleName: | R | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 7343539332 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | L.M.S.W. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | 6801093766 | MI | Y | Agencies | Community/Behavioral Health |
No ID Information.