Organization
DANNY BOY FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASTI ASHTIANI RAVEAU PHD (CLINICAL PSYCHOLOGIST/PRESIDENT)
(248) 605-5402
Entity
Organization
Contact information
Practice address
632 N MILL ST, PLYMOUTH, MI 48170-1422
(248) 605-5402
Mailing address
632 N MILL ST, PLYMOUTH, MI 48170-1422
(248) 605-5402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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