Active NPI
Aim Bright Counseling Services, PLLC
- Adolescent and Children Mental Health Clinic/Center
- Troy, MI
National Provider Identifier
1700550720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6401017413 | Other | MI | STATE OF MICHIHAN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Southfield, MI
- NPI 1578132007
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.