MEDICARE: ENSPIRE 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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1790353324
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENSPIRE COUNSELING LLC

Provider Business Mailing Address
First Line	:	19860 POLLYANNA DR
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48152-1232
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	39209 6 MILE RD STE 211
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48152-3900
Country	:	US
Telephone Number	:	734-743-1253
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KRISTY THILL
Credential	:	LPC
Telephone Number	:	734-649-1469

Provider Enumeration Date	:	06/10/2021
Last Update Date	:	03/18/2026

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