Eleanor Aharoni, MA LMSW CAC1 SAP

Individual provider Active NPI Counseling Psychologist · West Bloomfield, MI

NPI 1215028774 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1215028774
Entity type
Individual (NPI type 1)
Primary specialty
Counseling Psychologist 103TC1900X
License
6801016788 LMSW (MI)
Practice address
5745 W Maple Road
Suite 211
West Bloomfield, MI 48322
Phone
(248) 626-2323
Fax
(248) 626-2927
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6801016788 LMSWMIMDCounseling Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6801016788 LMSW MI Yes

Addresses

Primary practice location

5745 W Maple Road
Suite 211
West Bloomfield, MI 48322

Mailing address

5745 W Maple Road
Suite 211
West Bloomfield, MI 48322
Phone (248) 626-2323

Other providers in West Bloomfield, MI

All providers in West Bloomfield, MI · Counseling Psychologist in Michigan

Sources for this page

Verify at the official NPI Registry.