Healthcare Provider Details

I. General information

NPI: 1427978782
Provider Name (Legal Business Name): KEY COUNSELING & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30230 JOHN R RD
MADISON HEIGHTS MI
48071-5205
US

IV. Provider business mailing address

30230 JOHN R RD
MADISON HEIGHTS MI
48071-5205
US

V. Phone/Fax

Practice location:
  • Phone: 810-533-5223
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: BERNARD PERRIN
Title or Position: OWNER
Credential:
Phone: 810-533-5223