Healthcare Provider Details

I. General information

NPI: 1629987169
Provider Name (Legal Business Name): LAMA MOHAMMED YASINE LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 S MAIN ST
ANN ARBOR MI
48104-2304
US

IV. Provider business mailing address

2901 BYNAN DR APT 107
YPSILANTI MI
48197-1245
US

V. Phone/Fax

Practice location:
  • Phone: 517-279-8866
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6451025013
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: