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General NPI Number Information
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NPI Number | 1417838020
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Entity Type | Organization
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Legal Business Name | PREMIUM COUNSELING SERVICES
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 41000 WOODWARD AVE STE 350
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48304-5092
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Country | US
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Telephone | 313-451-2768
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Fax |
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Provider Business Mailing Address
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Address Line | 400 FERRY AVE
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City | PONTIAC
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State | MI
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Zip | 48341-3315
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Country | US
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Telephone | 248-904-0556
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRENT SYKES
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Credential | LCSW
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Telephone | 248-904-0556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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