MEDICARE: JOLIE KARADSHEH

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1720946023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOLIE KARADSHEH

Provider Business Mailing Address
First Line	:	35557 REMINGTON DR
Second Line	:
City	:	STERLING HTS
State	:	MI
Zip	:	48310-4914
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	38271 MOUND RD
Second Line	:
City	:	STERLING HTS
State	:	MI
Zip	:	48310-3401
Country	:	US
Telephone Number	:	586-419-9249
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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