Healthcare Provider Details

I. General information

NPI: 1588474399
Provider Name (Legal Business Name): DAREEN HADDAD LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2025
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 N LAFAYETTE ST
SOUTH LYON MI
48178-1210
US

IV. Provider business mailing address

127 N LAFAYETTE ST
SOUTH LYON MI
48178-1210
US

V. Phone/Fax

Practice location:
  • Phone: 248-573-7417
  • Fax:
Mailing address:
  • Phone: 248-573-7417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6451024626
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: