Healthcare Provider Details

I. General information

NPI: 1023437571
Provider Name (Legal Business Name): SARETHA BEELER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2014
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2071 E WEST MAPLE RD STE E-504
COMMERCE TWP MI
48390-3815
US

IV. Provider business mailing address

2071 E WEST MAPLE RD STE E-504
COMMERCE TWP MI
48390-3815
US

V. Phone/Fax

Practice location:
  • Phone: 248-660-0428
  • Fax:
Mailing address:
  • Phone: 248-660-0428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401013127
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: