Healthcare Provider Details

I. General information

NPI: 1437784188
Provider Name (Legal Business Name): SONDER COUNSELING PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2020
Last Update Date: 09/21/2023
Certification Date: 09/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2510 S TELEGRAPH RD # L231
BLOOMFIELD HILLS MI
48302-0241
US

IV. Provider business mailing address

2510 S TELEGRAPH RD # L231
BLOOMFIELD HILLS MI
48302-0241
US

V. Phone/Fax

Practice location:
  • Phone: 269-389-0432
  • Fax:
Mailing address:
  • Phone: 269-389-0432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JESSICA LAUREN FOKSA
Title or Position: OWNER
Credential:
Phone: 269-389-0432