Healthcare Provider Details

I. General information

NPI: 1649197146
Provider Name (Legal Business Name): SARA L DEMSKY LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 S MAIN ST STE C
MILFORD MI
48381-1975
US

IV. Provider business mailing address

1931 DEVONSHIRE DR
WIXOM MI
48393-4411
US

V. Phone/Fax

Practice location:
  • Phone: 248-529-6383
  • Fax:
Mailing address:
  • Phone: 248-529-6383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451025098
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: