Healthcare Provider Details

I. General information

NPI: 1730700519
Provider Name (Legal Business Name): INSPIRED TRUTH COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2020
Last Update Date: 05/02/2020
Certification Date: 05/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7890 N FOUNTAIN PARK APT 213
WESTLAND MI
48185-4565
US

IV. Provider business mailing address

7890 N FOUNTAIN PARK APT 213
WESTLAND MI
48185-4565
US

V. Phone/Fax

Practice location:
  • Phone: 313-850-8550
  • Fax:
Mailing address:
  • Phone: 313-850-8550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY TOMASSI
Title or Position: OWNER
Credential: MA, LPC
Phone: 313-850-8550