MEDICARE: FAMILY NEST COUNSELING PLLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1568304541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY NEST COUNSELING PLLC

Provider Business Mailing Address
First Line	:	10814 TALBOT AVE
Second Line	:
City	:	HUNTINGTON WOODS
State	:	MI
Zip	:	48070-1173
Country	:	US
Telephone Number	:	248-259-3944
Fax Number	:

Provider Business Practice Location Address
First Line	:	10814 TALBOT AVE
Second Line	:
City	:	HUNTINGTON WOODS
State	:	MI
Zip	:	48070-1173
Country	:	US
Telephone Number	:	248-259-3944
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. TAMARA BETH SAMSON
Credential	:	LMSW
Telephone Number	:	248-259-3944

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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