Organization
VIA VIRTUS CLINICAL PSYCHOLOGY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIDY AZZOW (OWNER)
(248) 784-4374
Entity
Organization
Contact information
Practice address
884 S ROCHESTER RD, ROCHESTER HILLS, MI 48307-2740
(248) 784-4374
Mailing address
884 S ROCHESTER RD, ROCHESTER HILLS, MI 48307-2740
(248) 784-4374
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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