Healthcare Provider Details

I. General information

NPI: 1023933207
Provider Name (Legal Business Name): RUTU NAGARSHETH LPC ASSOCIATE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42435 NORTHVILLE PLACE DR
NORTHVILLE MI
48167-3135
US

IV. Provider business mailing address

42435 NORTHVILLE PLACE DR
NORTHVILLE MI
48167-3135
US

V. Phone/Fax

Practice location:
  • Phone: 773-461-9072
  • Fax:
Mailing address:
  • Phone: 773-461-9072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number99365
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: