Healthcare Provider Details

I. General information

NPI: 1770792988
Provider Name (Legal Business Name): DEBORAH ROSE KALFAYAN EDM,LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7148 STREAMWOOD DR
YPSILANTI MI
48197-9522
US

IV. Provider business mailing address

7148 STREAMWOOD DR
YPSILANTI MI
48197-9522
US

V. Phone/Fax

Practice location:
  • Phone: 734-476-7921
  • Fax: 734-961-7282
Mailing address:
  • Phone: 734-476-7921
  • Fax: 734-961-7282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401001264
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: