Wholistic Christian Counseling Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401009372 Issued in MI

Legal business name

WHOLISTIC CHRISTIAN COUNSELING CENTER

Practice address

17336 W 12 Mile Rd Ste 202
Southfield, MI 48076-2113

Phone

(313) 293-8603

NPI assigned

Apr 30, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Anquella Eunise Buchanan, M.A. LLPC

Title

Founder/Counselor

Phone

(313) 293-8603

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1164666475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17336 W 12 MILE RD STE 202",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762113",
            "telephone_number": "313-293-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17336 W 12 MILE RD STE 202",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762113",
            "telephone_number": "313-293-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLISTIC CHRISTIAN COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "ANQUELLA",
        "authorized_official_middle_name": "EUNISE",
        "authorized_official_title_or_position": "FOUNDER/COUNSELOR",
        "authorized_official_telephone_number": "313-293-8603",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A. LLPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Southfield, MI
• Providers in Southfield, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.