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NPI Code Detail

MEDICARE: THE BIRMINGHAM PRACTICE PLLC

MEDICARE: THE BIRMINGHAM PRACTICE PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1154255941
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE BIRMINGHAM PRACTICE PLLC
Provider Business Mailing Address
First Line : 5059 HILLTOP CT
Second Line :
City : CLARKSTON
State : MI
Zip : 48348-3496
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1035 S ADAMS RD
Second Line :
City : BIRMINGHAM
State : MI
Zip : 48009-7046
Country : US
Telephone Number : 248-310-0757
Fax Number :
Authorized Official
Title or Position : LICENSED PROFESSIONAL COUNSELOR
Name : SARAH KALASKY
Credential : LPC
Telephone Number : 248-310-0757
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “THE BIRMINGHAM PRACTICE PLLC ” Practice Location

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