MEDICARE: NADIA SELAMEH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1164815171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NADIA SELAMEH

Provider Business Mailing Address
First Line	:	6200 N WAYNE RD APT 318
Second Line	:
City	:	WESTLAND
State	:	MI
Zip	:	48185-7111
Country	:	US
Telephone Number	:	734-858-8252
Fax Number	:

Provider Business Practice Location Address
First Line	:	6200 N WAYNE RD APT 318
Second Line	:
City	:	WESTLAND
State	:	MI
Zip	:	48185-7111
Country	:	US
Telephone Number	:	734-858-8252
Fax Number	:

Authorized Official
Title or Position	:	PROFESSIONAL COUNSELOR
Name	:	MS. NADIA SELAMEH
Credential	:	LLPC
Telephone Number	:	734-858-8252

Provider Enumeration Date	:	03/15/2015
Last Update Date	:	03/15/2015

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Directions to “NADIA SELAMEH ” Practice Location

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