Healthcare Provider Details

I. General information

NPI: 1932709441
Provider Name (Legal Business Name): CASALOU COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2020
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36400 WOODWARD AVE STE 125
BLOOMFIELD HILLS MI
48304-0904
US

IV. Provider business mailing address

418 N MAIN ST
ROYAL OAK MI
48067-1813
US

V. Phone/Fax

Practice location:
  • Phone: 248-264-3672
  • Fax:
Mailing address:
  • Phone: 313-744-2496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY CASALOU
Title or Position: COUNSELOR
Credential: MA LPC
Phone: 586-872-4244