Healthcare Provider Details

I. General information

NPI: 1346178209
Provider Name (Legal Business Name): SANDRA FLURY COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4015 LOTUS DR
WATERFORD MI
48329-1227
US

IV. Provider business mailing address

4015 LOTUS DR
WATERFORD MI
48329-1227
US

V. Phone/Fax

Practice location:
  • Phone: 248-804-4799
  • Fax:
Mailing address:
  • Phone: 248-804-4799
  • 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: SANDRA D FLURY
Title or Position: THERAPIST
Credential: LMSW
Phone: 248-804-4799