Healthcare Provider Details

I. General information

NPI: 1376463778
Provider Name (Legal Business Name): HEART TO HEART COUPLES AND FAMILY COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44015 S UMBERLAND CIR
CANTON MI
48187-2700
US

IV. Provider business mailing address

44015 S UMBERLAND CIR
CANTON MI
48187-2700
US

V. Phone/Fax

Practice location:
  • Phone: 312-834-4084
  • Fax:
Mailing address:
  • Phone: 312-834-4084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: HAMZAH BEYDOUN
Title or Position: OWNER
Credential: LMFT, LPC
Phone: 714-348-8025