Healthcare Provider Details

I. General information

NPI: 1568304541
Provider Name (Legal Business Name): FAMILY NEST COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10814 TALBOT AVE
HUNTINGTON WOODS MI
48070-1173
US

IV. Provider business mailing address

10814 TALBOT AVE
HUNTINGTON WOODS MI
48070-1173
US

V. Phone/Fax

Practice location:
  • Phone: 248-259-3944
  • Fax:
Mailing address:
  • Phone: 248-259-3944
  • 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: MRS. TAMARA BETH SAMSON
Title or Position: OWNER
Credential: LMSW
Phone: 248-259-3944