Healthcare Provider Details

I. General information

NPI: 1023800398
Provider Name (Legal Business Name): IRONWOOD PSYCHOTHERAPY SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2836 W JEFFERSON AVE
TRENTON MI
48183-2902
US

IV. Provider business mailing address

2836 W JEFFERSON AVE
TRENTON MI
48183-2902
US

V. Phone/Fax

Practice location:
  • Phone: 734-709-1392
  • Fax:
Mailing address:
  • Phone: 734-709-1392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ERIN ELIZABETH MCLOUGHLIN
Title or Position: CEO
Credential: LMSW
Phone: 734-709-1392