Healthcare Provider Details

I. General information

NPI: 1932783552
Provider Name (Legal Business Name): COMMON SENSE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2021
Last Update Date: 05/10/2021
Certification Date: 04/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 DICKENS RD
SPRING ARBOR MI
49283
US

IV. Provider business mailing address

2075 W STADIUM BLVD UNIT 2395
ANN ARBOR MI
48106-7757
US

V. Phone/Fax

Practice location:
  • Phone: 517-745-4729
  • Fax:
Mailing address:
  • Phone: 517-745-4729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA J SMITH
Title or Position: OWNER/PROVIDER
Credential: LPC
Phone: 517-745-4729