Healthcare Provider Details

I. General information

NPI: 1144115296
Provider Name (Legal Business Name): SHARED ECHOES COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 S WAVERLY RD STE C
LANSING MI
48911-2049
US

IV. Provider business mailing address

217 WESTBROOK
WHITMORE LAKE MI
48189-8209
US

V. Phone/Fax

Practice location:
  • Phone: 810-306-0156
  • Fax:
Mailing address:
  • Phone: 810-306-0156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RAZIA MUHAMMADI
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: LMSW
Phone: 810-306-0156