Healthcare Provider Details

I. General information

NPI: 1548340227
Provider Name (Legal Business Name): PROFESIONAL COUNSELING PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18230 MACK AVE
GROSSE POINTE FARMS MI
48236-3218
US

IV. Provider business mailing address

18230 MACK AVE
GROSSE POINTE FARMS MI
48236-3218
US

V. Phone/Fax

Practice location:
  • Phone: 313-881-1990
  • Fax: 313-881-2550
Mailing address:
  • Phone: 313-881-1990
  • Fax: 313-881-2550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number01601
License Number StateMI

VIII. Authorized Official

Name: DR. SABRY ATTIA
Title or Position: THERAPIST
Credential: LMSW, MFT
Phone: 313-881-1990