Healthcare Provider Details

I. General information

NPI: 1073449229
Provider Name (Legal Business Name): DUBOIS COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26711 WOODWARD AVE STE 207
HUNTINGTON WOODS MI
48070-1368
US

IV. Provider business mailing address

444 ALBANY ST
FERNDALE MI
48220-1805
US

V. Phone/Fax

Practice location:
  • Phone: 248-515-4507
  • Fax:
Mailing address:
  • Phone: 248-515-4507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ELISE ANN DUBOIS
Title or Position: OWNER
Credential: LPC NCC
Phone: 248-515-4507