MEDICARE: DAREEN HADDAD LLPC

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	390200000X	Student in an Organized Health Care Education/Training Program
2	101YP2500X	Professional Counselor	6451024626	MI

General Provider Information

NPI Number	:	1588474399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAREEN HADDAD LLPC

Provider Business Mailing Address
First Line	:	1777 AXTELL DR STE 100
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48084-4400
Country	:	US
Telephone Number	:	248-973-4060
Fax Number	:

Provider Business Practice Location Address
First Line	:	1777 AXTELL DR STE 100
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48084-4400
Country	:	US
Telephone Number	:	248-973-4060
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2025
Last Update Date	:	04/21/2026

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Directions to “ DAREEN HADDAD LLPC” Practice Location

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