Organization Active NPI

Heart and Soul Counseling and Life Coaching Services

  • Professional Counselor
  • Southfield, MI
National Provider Identifier
1922630748
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
HEART AND SOUL COUNSELING AND LIFE COACHING SERVICES
Practice address
29623 Northwestern Hwy
Southfield, MI 48034-1076
Phone
(248) 521-6432
Fax
(248) 862-5573
NPI assigned
Feb 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Denise Renee Tyus, LPC
Title
Counselor
Phone
(248) 469-9036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

29623 Northwestern Hwy
Southfield, MI 48034-1076

Mailing address

29623 Northwestern Hwy
Southfield, MI 48034-1076
Phone (248) 469-9036

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": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1922630748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29623 NORTHWESTERN HWY",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341076",
            "telephone_number": "248-469-9036",
            "fax_number": "248-862-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29623 NORTHWESTERN HWY",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341076",
            "telephone_number": "248-521-6432",
            "fax_number": "248-862-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART AND SOUL COUNSELING AND LIFE COACHING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "TYUS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "248-469-9036",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.