Healthcare Provider Details

I. General information

NPI: 1770405573
Provider Name (Legal Business Name): SAGE & SPRUCE COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 MEADOWDALE ST
FERNDALE MI
48220-3207
US

IV. Provider business mailing address

809 MEADOWDALE ST
FERNDALE MI
48220-3207
US

V. Phone/Fax

Practice location:
  • Phone: 313-241-4414
  • Fax:
Mailing address:
  • Phone: 313-241-4414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: JESSICA HOGAN
Title or Position: OWNER/MENTAL HEALTH CLINICIAN
Credential: MA, LPC, SCL
Phone: 313-241-4414