De Marillac Counseling LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

DE MARILLAC COUNSELING LLC

Practice address

37772 Charter Oaks Blvd
Clinton TWP, MI 48036-4435

Phone

(734) 674-4772

Fax

(586) 948-8758

NPI assigned

Nov 24, 2020

Last updated

Nov 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Amy Leigh Perugi, LMSW CAADCNPI 1033260187

Title

President and Therapist

Phone

(734) 674-4772

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Leigh Perugi, LMSW

  • Clinical Social Worker
  • Clinton TWP, MI
  • NPI 1033260187
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1396349932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37772 CHARTER OAKS BLVD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480364435",
            "telephone_number": "734-674-4772",
            "fax_number": "586-948-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37772 CHARTER OAKS BLVD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480364435",
            "telephone_number": "734-674-4772",
            "fax_number": "586-948-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE MARILLAC COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "PERUGI",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PRESIDENT AND THERAPIST",
        "authorized_official_telephone_number": "734-674-4772",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW CAADC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Davenport
• Nikole Kristine Davidson, ACNP-BC
• Alexandra Marie Davies, DO
• Jennifer Davies, RN
• Heather Dawidowicz, O.D.
• Katie M Decent, L.M.T.
• Renee Dedenbach
• Lisa Defillippo
• Isabella Celeste Deladurantaye, MS/PSYS
• Michael J Deleeuw, DDS

• Adult Mental Health Clinic/Center in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.