AMANDA SONG HEE VANDENBUSCH MA LLPC NPI 1154640522

NPI Information

NPI: 1154640522
Provider Name: AMANDA SONG HEE VANDENBUSCH, MA, LLPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2045 E WEST MAPLE RD
SUITE D-407
COMMERCE TOWNSHIP, MI
ZIP 48390
Phone: (248) 624-3811
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Amanda Song Hee Vandenbusch, MA, LLPC is a professional counselor in Commerce Township, MI. Amanda Song Hee Vandenbusch, MA, LLPC NPI is 1154640522. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2045 E WEST MAPLE RD
SUITE D-407
COMMERCE TOWNSHIP, MI
ZIP 48390-801
Phone: (248) 624-3811
Fax: (248) 624-0368

The enumeration date for this NPI number is 5/25/2010 and was last updated on 5/25/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	6401011593	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1883825	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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