Healthcare Provider Details

I. General information

NPI: 1780491076
Provider Name (Legal Business Name): IRIS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2024
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W MICHIGAN AVE STE 229D
YPSILANTI MI
48197-5443
US

IV. Provider business mailing address

300 W MICHIGAN AVE STE 229D
YPSILANTI MI
48197-5443
US

V. Phone/Fax

Practice location:
  • Phone: 734-215-5154
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SARAH TONIN
Title or Position: PART OWNER
Credential: LPC
Phone: 734-510-4598