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General NPI Number Information
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NPI Number | 1841891363
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Entity Type | Organization
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Legal Business Name | ASHLEY CASALOU MA LPC LLC
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Dates
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Enumeration Date | 11/02/2020
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 36400 WOODWARD AVE STE 20
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48304-0914
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Country | US
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Telephone | 313-744-2496
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Fax |
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Provider Business Mailing Address
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Address Line | 36400 WOODWARD AVE STE 20
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48304-0914
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Country | US
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Telephone | 313-744-2496
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | ASHLEY CASALOU
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Credential | MA LPC CCTP
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Telephone | 313-744-2496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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