Healthcare Provider Details

I. General information

NPI: 1508481649
Provider Name (Legal Business Name): ALLISON LOUISE TAAMNEH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2020
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29240 BUCKINGHAM ST STE 5
LIVONIA MI
48154-4575
US

IV. Provider business mailing address

29240 BUCKINGHAM ST STE 5
LIVONIA MI
48154-4575
US

V. Phone/Fax

Practice location:
  • Phone: 734-655-0522
  • Fax:
Mailing address:
  • Phone: 734-655-0522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6451024393
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: