SOULSTICE COUNSELING (NPI# 1245623057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245623057 |
| Entity Type | Organization |
| Organization Name | SOULSTICE COUNSELING |
| Other Organization Name | KEN WHITTUM |
| Practice Address |
38828 Grandon St Livonia MI 48150-3381 |
| Practice Telephone | 7343684571 |
| Mailing Telephone | 7343684571 |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |
| Authorized Official Name | MR. KENNETH D WHITTUM (DIRECTOR/THERAPIST) |
| Authorized Official Telephone | 7343684571 |
| Authorized Official Credential | MA, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 6401013328 | MI | Agencies |
| Other Name | Type Code |
|---|---|
| Ken Whittum | Other Name - Individual/Organization |
| Street Address |
38828 GRANDON ST |
| City | LIVONIA |
| State | MI |
| Zip Code | 48150-3381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497132633 | Kenneth Whittum | Counselor | 38828 Grandon St, Livonia, MI 48150-3381 | 2015-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821622416 | Alex Asa Willmarth | Behavior Technician | 31557 Schoolcraft Road Suite 200, 31557 Schoolcraft Road Suite 200, Livonia, MI 48150 | 2020-02-24 |
| 1679116396 | Carly Steen | Behavior Technician | 31557 Schoolcraft Road, Suite 200, Livonia, MI 48150 | 2019-10-25 |
| 1821652355 | Katelynn Lyon | Social Worker | 37450 Schoolcraft Road, Suite 110, Livonia, MI 48150 | 2019-04-30 |
| 1821573171 | Angela Fay | Specialist | Hegira Programs, Inc., 37450 Schoolcraft, Ste. 110, Livonia, MI 48150 | 2018-10-02 |
| 1043792989 | Bethany L Hill | Pharmacist | 32131 Industrial Road, Livonia, MI 48150 | 2018-09-06 |
| 1407337835 | Teena Hutson | Counselor | 37450 Schoolcratf, Westland, MI 48150 | 2018-08-23 |
| 1053804062 | Chandana Raveendran | Speech-Language Pathologist | 35100 Ann Arbor Trl, Livonia, MI 48150 | 2018-06-13 |
| 1518459239 | Motivated Parenting, LLC | Case Management | 9906 Shadyside St, Livonia, MI 48150 | 2018-05-30 |
| 1184138471 | Shannon Anderson | Counselor | 33231 Schoolcraft Road Suite 210, Livonia, MI 48150 | 2017-11-22 |
| 1801316724 | Stephanie Levis | Social Worker | 32945 Indiana St, Livonia, MI 48150 | 2017-06-21 |
| Find all providers in zip 48150 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205355005 | Hj Behavioral Health LLC | Community/Behavioral Health | 16536 Nola Ct, Livonia, MI 48154-1219 | 2017-09-12 |
| 1023543253 | Lmh Group Pllc | Community/Behavioral Health | 39293 Plymouth Rd Ste 117, Livonia, MI 48150-1080 | 2017-04-25 |
| 1407245228 | Professional Preventive Restoration & Consultant Services | Community/Behavioral Health | 17314 Farmington Rd, Livonia, MI 48152-3158 | 2015-01-16 |
| 1275085706 | Behavioral Health Consultants, LLC | Community/Behavioral Health | 39293 Plymouth Rd, Suite 109a, Livonia, MI 48150-1060 | 2016-11-01 |
| 1932516184 | Support Management Services, LLC | Community/Behavioral Health | 32231 Schoolcraft Rd, Suite 210, Livonia, MI 48150-4312 | 2014-07-21 |
| 1750706883 | Michigan Institute for Behavioral Health | Community/Behavioral Health | 37799 Professional Center Dr, Suite 103, Livonia, MI 48154 | 2014-02-26 |
| 1326462623 | Erik Wilson | Community/Behavioral Health | 29240 Buckingham St, 11, Livonia, MI 48154-4575 | 2014-02-07 |
| 1922446301 | Psychiatric Intervention Center | Community/Behavioral Health | 33505 Schoolcraft Rd, Livonia, MI 48150-1630 | 2013-06-07 |
| 1508112657 | Starfish Family Services | Community/Behavioral Health | 18316 Middlebelt Rd, Livonia, MI 48152-5007 | 2012-07-26 |
| 1679849988 | Michigan Psychological and Counseling Institute Pllc | Community/Behavioral Health | 31584 Schoolcraft Rd, Livonia, MI 48150-1843 | 2012-03-30 |
| Find all providers in LIVONIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.