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STUART KOPPELA-SUTHERLAND LLC NPI 1710661822


NPI Information

NPI: 1710661822
Provider Name: STUART KOPPELA-SUTHERLAND, LLC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
4000 W WALTON BLVD
WATERFORD, MI
ZIP 48329
Phone: (248) 461-6266
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Stuart Koppela-sutherland, LLC is a counselor in Waterford, MI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Stuart Koppela-sutherland, LLC NPI is 1710661822. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4000 W WALTON BLVD
WATERFORD, MI
ZIP 48329-191
Phone: (248) 461-6266

The enumeration date for this NPI number is 6/12/2023 and was last updated on 6/12/2023.


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
1101Y00000XCounselor6451022847MICHIGANYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.