MEDICARE: NEED TO TALK, LLC

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
1	235Z00000X	Speech-Language Pathologist
2	101YP2500X	Professional Counselor		MI

General Provider Information

NPI Number	:	1194199794
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEED TO TALK, LLC

Provider Business Mailing Address
First Line	:	18701 GRAND RIVER AVE
Second Line	:	#205
City	:	DETROIT
State	:	MI
Zip	:	48223-2214
Country	:	US
Telephone Number	:	313-702-2300
Fax Number	:	313-693-9527

Provider Business Practice Location Address
First Line	:	1420 WASHINGTON BLVD
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48226-1718
Country	:	US
Telephone Number	:	313-702-2300
Fax Number	:	313-693-9527

Authorized Official
Title or Position	:	SENIOR PARTNER
Name	:	DR. DEBORAH ANN SPENCE
Credential	:	LPC
Telephone Number	:	313-702-2300

Provider Enumeration Date	:	11/19/2015
Last Update Date	:	11/19/2015

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Directions to “NEED TO TALK, LLC ” Practice Location

Language	Start Address	Practice Location

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