Provider Demographics
NPI:1285376467
Name:MENTAL WEALTH COUNSELING LLC
Entity type:Organization
Organization Name:MENTAL WEALTH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MERNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZORA
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, LCSW
Authorized Official - Phone:586-292-8373
Mailing Address - Street 1:50014 LEXINGTON AVE E
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48317-6300
Mailing Address - Country:US
Mailing Address - Phone:586-292-8373
Mailing Address - Fax:
Practice Address - Street 1:50014 LEXINGTON AVE E
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48317-6300
Practice Address - Country:US
Practice Address - Phone:586-292-8373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty