Healthcare Provider Details

I. General information

NPI: 1023640984
Provider Name (Legal Business Name): AARON SOLOMON LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2020
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 N MAIN ST STE 200
PLYMOUTH MI
48170-1250
US

IV. Provider business mailing address

340 N MAIN ST STE 200
PLYMOUTH MI
48170-1250
US

V. Phone/Fax

Practice location:
  • Phone: 734-335-0028
  • Fax: 734-335-3931
Mailing address:
  • Phone: 734-335-0028
  • Fax: 734-335-3931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401226405
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: