Healthcare Provider Details

I. General information

NPI: 1376477455
Provider Name (Legal Business Name): CATALYST THERAPY AND CONSULTING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28645 32 MILE RD
RICHMOND MI
48062-5101
US

IV. Provider business mailing address

28645 32 MILE RD
RICHMOND MI
48062-5101
US

V. Phone/Fax

Practice location:
  • Phone: 248-509-4465
  • Fax:
Mailing address:
  • Phone: 248-509-4465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY VALLONE
Title or Position: OWNER/CLINICAL THERAPIST
Credential: MSW
Phone: 248-509-4465