Provider Demographics
NPI:1790301158
Name:CASSINI, SUHILA (AROMATHERAPY PRACT)
Entity type:Individual
Prefix:PROF
First Name:SUHILA
Middle Name:
Last Name:CASSINI
Suffix:
Gender:F
Credentials:AROMATHERAPY PRACT
Other - Prefix:DR
Other - First Name:SUHILA
Other - Middle Name:
Other - Last Name:ABUIJHESHIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHYSICIAN HEALER
Mailing Address - Street 1:3297 ORCHARD LAKE RD STE 107
Mailing Address - Street 2:
Mailing Address - City:KEEGO HARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48320-1378
Mailing Address - Country:US
Mailing Address - Phone:248-800-0828
Mailing Address - Fax:
Practice Address - Street 1:3297 ORCHARD LAKE RD
Practice Address - Street 2:STE 107
Practice Address - City:KEEGO HARBOR
Practice Address - State:MI
Practice Address - Zip Code:48320
Practice Address - Country:US
Practice Address - Phone:248-800-0828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-22
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 133VN1201X, 172V00000X, 174400000X, 225400000X, 225700000X, 225A00000X, 3747P1801X, 374T00000X, 133VN1004X
CA102X00000X
MI2705004591207R00000X, 207Q00000X, 2083P0901X, 2084A2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No102X00000XBehavioral Health & Social Service ProvidersPoetry Therapist
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management
No172V00000XOther Service ProvidersCommunity Health Worker
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No174400000XOther Service ProvidersSpecialist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical Care
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2705004591OtherALL PROVIDERS LISTED USE PROFESSIONAL LICENSE ID 2705004591