Healthcare Provider Details

I. General information

NPI: 1700630423
Provider Name (Legal Business Name): NOOR PSYCHOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2024
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24110 MEADOWBROOK RD STE 109
NOVI MI
48375-3406
US

IV. Provider business mailing address

24110 MEADOWBROOK RD STE 109
NOVI MI
48375-3406
US

V. Phone/Fax

Practice location:
  • Phone: 248-871-7551
  • Fax:
Mailing address:
  • Phone: 248-871-7551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: KOMAL AKHTER
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: MA, LLP
Phone: 248-871-7551