Organization
EPHPHATHA COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON L NWAKA LPC PHD (DIRECTOR)
(734) 881-0769
Entity
Organization
Contact information
Practice address
39111 6 MILE RD, LIVONIA, MI 48152-3926
(734) 881-0769
Mailing address
39111 6 MILE RD, LIVONIA, MI 48152-3909
(734) 881-0769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
09/27/2025
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