Healthcare Provider Details

I. General information

NPI: 1013846237
Provider Name (Legal Business Name): SYMS PSYCHOTHERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2865 ALDGATE DR
BLOOMFIELD HILLS MI
48304-1703
US

IV. Provider business mailing address

43313 WOODWARD AVE UNIT 1183
BLOOMFIELD HILLS MI
48302-5007
US

V. Phone/Fax

Practice location:
  • Phone: 313-395-8329
  • Fax:
Mailing address:
  • Phone: 313-395-8329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CIANDAR SYMS
Title or Position: CLINICAL SOCIAL WORKER
Credential: LMSW-C
Phone: 248-479-3360