Healthcare Provider Details

I. General information

NPI: 1073269833
Provider Name (Legal Business Name): SS COUNSELING AND CONSULTING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2022
Last Update Date: 01/30/2024
Certification Date: 01/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23756 MICHIGAN AVE
DEARBORN MI
48124-1853
US

IV. Provider business mailing address

PO BOX 1676
DEARBORN MI
48121-1676
US

V. Phone/Fax

Practice location:
  • Phone: 313-338-6964
  • Fax:
Mailing address:
  • Phone: 313-338-6964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: SEMAA SHLEBAH
Title or Position: OWNER
Credential: LPC
Phone: 313-338-6964