Healthcare Provider Details

I. General information

NPI: 1831297829
Provider Name (Legal Business Name): ANN ARBOR CONSULTATION SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5331 PLYMOUTH RD
ANN ARBOR MI
48105-9520
US

IV. Provider business mailing address

5331 PLYMOUTH RD
ANN ARBOR MI
48105-9520
US

V. Phone/Fax

Practice location:
  • Phone: 734-996-9111
  • Fax: 734-996-1950
Mailing address:
  • Phone: 734-996-9111
  • Fax: 734-996-1950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6301011289
License Number StateMI

VIII. Authorized Official

Name: MRS. LAURA ANN SENK
Title or Position: BILLING DIRECTOR
Credential:
Phone: 734-996-9111