Healthcare Provider Details

I. General information

NPI: 1235094541
Provider Name (Legal Business Name): AFP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

135 N OLD WOODWARD AVE
BIRMINGHAM MI
48009-3341
US

IV. Provider business mailing address

135 N OLD WOODWARD AVE
BIRMINGHAM MI
48009-3341
US

V. Phone/Fax

Practice location:
  • Phone: 313-444-9887
  • Fax:
Mailing address:
  • Phone: 313-444-9887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: AMYNA FTOUNI
Title or Position: OWNER
Credential:
Phone: 313-444-9887