Healthcare Provider Details

I. General information

NPI: 1760322119
Provider Name (Legal Business Name): INDIVIDUUM PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28423 ORCHARD LAKE RD STE 202
FARMINGTON HILLS MI
48334-2971
US

IV. Provider business mailing address

28423 ORCHARD LAKE RD STE 202
FARMINGTON HILLS MI
48334-2971
US

V. Phone/Fax

Practice location:
  • Phone: 734-808-3769
  • Fax:
Mailing address:
  • Phone: 734-808-3769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL JOHN VALENTI JR.
Title or Position: OWNER
Credential: PSYD, LLP
Phone: 734-808-3769