Healthcare Provider Details

I. General information

NPI: 1710997432
Provider Name (Legal Business Name): HELEN H AGUILAR LPC, CSAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 10/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37634 ENTERPRISE CT
FARMINGTON HILLS MI
48331-3440
US

IV. Provider business mailing address

126 MORAN RD
GROSSE POINTE FARMS MI
48236-3607
US

V. Phone/Fax

Practice location:
  • Phone: 248-553-0902
  • Fax: 248-553-2632
Mailing address:
  • Phone: 920-585-0688
  • Fax: 248-553-2632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3760-125
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6401014463
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number14626-132
License Number StateWI
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5576626-6004
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: