Healthcare Provider Details

I. General information

NPI: 1659275873
Provider Name (Legal Business Name): ABRIL DESCHAMPS WHITTINGTON LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 WRIGHT ST
WIXOM MI
48393-4318
US

IV. Provider business mailing address

423 WRIGHT ST
WIXOM MI
48393-4318
US

V. Phone/Fax

Practice location:
  • Phone: 937-638-4171
  • Fax:
Mailing address:
  • Phone: 937-638-4171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451025412
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: