Healthcare Provider Details

I. General information

NPI: 1730838509
Provider Name (Legal Business Name): NEW VISION COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 10/12/2025
Certification Date: 10/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14503 ARTESIAN ST
DETROIT MI
48223-2226
US

IV. Provider business mailing address

14503 ARTESIAN ST
DETROIT MI
48223-2226
US

V. Phone/Fax

Practice location:
  • Phone: 313-410-7308
  • Fax: 313-692-6165
Mailing address:
  • Phone: 313-410-7308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. GAIL RUSH-CULLORS
Title or Position: THERAPIST
Credential: LPC
Phone: 313-410-7308