Healthcare Provider Details

I. General information

NPI: 1760298582
Provider Name (Legal Business Name): ASUARE PROFESSIONAL COUNSELING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2024
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18955 RUNYON ST
DETROIT MI
48234-3750
US

IV. Provider business mailing address

PO BOX 33
WARREN MI
48090-0033
US

V. Phone/Fax

Practice location:
  • Phone: 313-520-4507
  • Fax:
Mailing address:
  • Phone: 313-520-4507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ROMARIA JONES
Title or Position: OWNER
Credential: LPC
Phone: 313-520-4507