Healthcare Provider Details

I. General information

NPI: 1952686289
Provider Name (Legal Business Name): KATRINA VERLYNN SAUNDERS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS KATRINA SWEETMAN

II. Dates (important events)

Enumeration Date: 10/18/2011
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2399 E WALTON BLVD
AUBURN HILLS MI
48326-1955
US

IV. Provider business mailing address

26901 BEAUMONT BLVD STE 3D BEAUMONT PHYSICIAN PARTNERS PAYOR ENROLLMENT
SOUTHFIELD MI
48033-3849
US

V. Phone/Fax

Practice location:
  • Phone: 248-925-7678
  • Fax:
Mailing address:
  • Phone: 248-577-9221
  • Fax: 248-577-3302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401011818
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: