Healthcare Provider Details

I. General information

NPI: 1154240034
Provider Name (Legal Business Name): TRIUNE COUNSELING & CONSULTING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4003 BROOKSIDE RD
CLARKSTON MI
48346-1168
US

IV. Provider business mailing address

4003 BROOKSIDE RD
CLARKSTON MI
48346-1168
US

V. Phone/Fax

Practice location:
  • Phone: 248-600-8222
  • Fax:
Mailing address:
  • Phone: 248-600-8222
  • 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: BETHANY JOY ATWELL
Title or Position: OWNER, CLINICAL THERAPIST
Credential: MA, LPC
Phone: 248-600-8222