PROFESSIONAL PSYCHOTHERAPY LLC
NPI 1558178434
Social Worker - Clinical in Grosse Pointe Farms, MI

Active since December 14, 2024
63 KERCHEVAL AVE STE 14, GROSSE POINTE FARMS, MI 48236(313) 215-1186 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 3, 2025, Dec 14, 2024 (2 updates tracked since 2024).

About Professional Psychotherapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL PSYCHOTHERAPY LLC (NPI 1558178434) is a healthcare organization registered as a clinical in Grosse Pointe Farms, Michigan and active in the NPI registry since December 2024. The organization lists Nicole Aubrey Runyon, Owner, as its authorized official.

NPPES Registry Identity

NPI1558178434
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePROFESSIONAL PSYCHOTHERAPY LLC
Location Address63 KERCHEVAL AVE STE 14Grosse Pointe Farms, MI 48236-3656
Mailing Address73 Hampton RdGrosse Pointe Shores, MI 48236-1316 · (313) 215-1186
Organization SubpartNo
Authorized OfficialNicole Aubrey RunyonOwner · (313) 215-1186
Enumeration DateDecember 14, 2024
Last NPPES UpdateJanuary 3, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
✔ NPI 1558178434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
63 KERCHEVAL AVE STE 14, Grosse Pointe Farms, MI 48236

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
63 KERCHEVAL AVE STE 14
GROSSE POINTE FARMS, MI 48236

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Psychotherapy LLC's NPI number?

The NPI number for Professional Psychotherapy LLC is 1558178434. It was assigned to this organization in the NPPES registry on December 14, 2024.

Where is Professional Psychotherapy LLC located?

Professional Psychotherapy LLC is located at 63 Kercheval Ave Ste 14, Grosse Pointe Farms, MI 48236. The listed phone number is (313) 215-1186.

What is Professional Psychotherapy LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Professional Psychotherapy LLC was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.