Healthcare Provider Details
I. General information
NPI: 1154984037
Provider Name (Legal Business Name): MAJOR COUNSELING AND CASE MANAGEMENT FAMILY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/17/2019
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3200 GREENFIELD RD STE 300
DEARBORN MI
48120-1800
US
IV. Provider business mailing address
3200 GREENFIELD RD STE 300
DEARBORN MI
48120-1800
US
V. Phone/Fax
- Phone: 734-833-1099
- Fax:
- Phone: 734-833-1099
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANDREANA
SHARISSE
MAJOR
Title or Position: EXECUTIVE DIRECTOR/ CLINICAL THERAP
Credential: LMSW
Phone: 734-833-1099