Healthcare Provider Details

I. General information

NPI: 1023940293
Provider Name (Legal Business Name): CAROLINE HUEY MA, LLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 BARCLAY CIR STE 400
ROCHESTER HILLS MI
48307-5812
US

IV. Provider business mailing address

34 NEWBERRY ST
PONTIAC MI
48341-1134
US

V. Phone/Fax

Practice location:
  • Phone: 248-957-6444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451024878
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: