Healthcare Provider Details

I. General information

NPI: 1386400224
Provider Name (Legal Business Name): AMANDA AND COMPANY COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2024
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 HOGBACK RD
ANN ARBOR MI
48105-9736
US

IV. Provider business mailing address

2510 SOUTHLAWN ST
YPSILANTI MI
48197-1933
US

V. Phone/Fax

Practice location:
  • Phone: 734-747-4548
  • Fax:
Mailing address:
  • Phone: 734-786-4900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: AMANDA MICHELE CAMPBELL
Title or Position: OWNER
Credential: LMSW
Phone: 734-747-4548