Healthcare Provider Details

I. General information

NPI: 1922337948
Provider Name (Legal Business Name): ABH CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2009
Last Update Date: 09/16/2024
Certification Date: 09/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40000 GRAND RIVER AVE STE 504
NOVI MI
48375-2176
US

IV. Provider business mailing address

40000 GRAND RIVER AVE STE 504
NOVI MI
48375-2176
US

V. Phone/Fax

Practice location:
  • Phone: 248-426-9900
  • Fax: 248-426-9950
Mailing address:
  • Phone: 248-426-9900
  • Fax: 248-426-9950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateMI
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateMI

VIII. Authorized Official

Name: DR. SARA KATHERINE CHASE
Title or Position: PRESIDENT/OWNER
Credential: PH.D.
Phone: 248-650-8383