=====================================================
General NPI Number Information
=====================================================
NPI Number | 1548656424
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ASHLEY KAYS ZAIR, LMSW, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/08/2015
-----------------------------------------------------
Last Update Date | 12/30/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 30640 W 12 MILE RD STE C
-----------------------------------------------------
City | FARMINGTON HILLS
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48334-3808
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-289-8391
-----------------------------------------------------
Fax | 248-792-9234
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 30640 W 12 MILE RD STE C
-----------------------------------------------------
City | FARMINGTON HILLS
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48334-3808
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-289-8391
-----------------------------------------------------
Fax | 248-715-6743
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CLINICAL THERAPIST
-----------------------------------------------------
Name | MS. ASHLEY KAYS ZAIR
-----------------------------------------------------
Credential | LMSW
-----------------------------------------------------
Telephone | 248-425-9656
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number | 6801093966
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------