Healthcare Provider Details

I. General information

NPI: 1144918020
Provider Name (Legal Business Name): CENTER FOR STUDENTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2023
Last Update Date: 04/27/2023
Certification Date: 04/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 RIDGE RD
GROSSE POINTE FARMS MI
48236-3513
US

IV. Provider business mailing address

87 RIDGE RD
GROSSE POINTE FARMS MI
48236-3513
US

V. Phone/Fax

Practice location:
  • Phone: 313-729-6798
  • Fax:
Mailing address:
  • Phone: 313-729-6798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANNE MOIGIS
Title or Position: LPC/OWNER
Credential: LPC
Phone: 313-729-6798