Ashley Renee' Adebiyi, LLPC
Individual provider Active NPI Mental Health Counselor · Temperance, MI
NPI 1184458705 · NPPES record last updated Aug 27, 2024
Key facts
- NPI
- 1184458705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 6451023043 (MI)
- Practice address
- 8765 Lewis Ave
Temperance, MI 48182-9583 - Phone
- (734) 654-2169
- Fax
- (734) 850-0520
- NPI assigned
- Aug 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451023043 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Restoration Services, LLC | Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6451023043 | MI | Yes |
Addresses
Primary practice location
8765 Lewis Ave
Temperance, MI 48182-9583
Mailing address
8765 Lewis Ave
Temperance, MI 48182-9583
Phone (734) 847-3802
Other providers in Temperance, MI
All providers in Temperance, MI · Mental Health Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.