Healthcare Provider Details

I. General information

NPI: 1851208870
Provider Name (Legal Business Name): O'LEARY PSYCHOTHERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 HILTON RD
FERNDALE MI
48220-2523
US

IV. Provider business mailing address

910 HILTON RD
FERNDALE MI
48220-2523
US

V. Phone/Fax

Practice location:
  • Phone: 734-325-4382
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JANET O'LEARY
Title or Position: OWNER
Credential: LMSW
Phone: 248-720-9991