Healthcare Provider Details

I. General information

NPI: 1265379093
Provider Name (Legal Business Name): CHIA MORGAN PROFESSIONAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14029 W MCNICHOLS RD
DETROIT MI
48235-3929
US

IV. Provider business mailing address

14029 W MCNICHOLS RD
DETROIT MI
48235-3929
US

V. Phone/Fax

Practice location:
  • Phone: 313-777-5757
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CHIA MORGAN
Title or Position: OWNER
Credential: LMSW
Phone: 810-545-7169