MEDICARE: SLEVIN COUNSELING LLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1760345995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEVIN COUNSELING LLC

Provider Business Mailing Address
First Line	:	1123 COLT DR
Second Line	:
City	:	SOUTH LYON
State	:	MI
Zip	:	48178-5300
Country	:	US
Telephone Number	:	810-295-1485
Fax Number	:

Provider Business Practice Location Address
First Line	:	10299 GRAND RIVER RD STE P
Second Line	:
City	:	BRIGHTON
State	:	MI
Zip	:	48116-9558
Country	:	US
Telephone Number	:	810-295-1485
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DEBORAH M SLEVIN
Credential	:	LPC
Telephone Number	:	248-259-4429

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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