Organization Active NPI

Aim Bright Counseling Services, PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Troy, MI
National Provider Identifier
1700550720
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
AIM BRIGHT COUNSELING SERVICES, PLLC
Practice address
888 W Big Beaver Rd
Troy, MI 48084-4736
Phone
(248) 264-3113
Fax
(248) 266-2251
NPI assigned
Aug 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Marshondra Kali Lawrence, MDIV, LPC
Title
Counselor/Owner
Phone
(734) 674-2561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

888 W Big Beaver Rd
Troy, MI 48084-4736

Mailing address

29793 Spring Hill Dr
Southfield, MI 48076-1859
Phone (734) 674-2561

Other identifiers 1

IdentifierTypeStateIssuer
6401017413OtherMISTATE OF MICHIHAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1700550720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29793 SPRING HILL DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761859",
            "telephone_number": "734-674-2561",
            "fax_number": "248-266-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 W BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844736",
            "telephone_number": "248-264-3113",
            "fax_number": "248-266-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIM BRIGHT COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "MARSHONDRA",
        "authorized_official_middle_name": "KALI",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "734-674-2561",
        "authorized_official_credential": "MDIV, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIHAN",
            "identifier": "6401017413",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.