SHANA WIRTH MA, LPC
NPI 1780059360
Counselor - Mental Health in Clarkston, MI
Active since December 08, 2015
3694 CLARKSTON RD, SUITE D, CLARKSTON, MI 48348(248) 693-8880(248) 391-7478 Get Directions Write a Review
About Shana Wirth Ma, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANA WIRTH MA, LPC (NPI 1780059360) is an individual mental health provider in Clarkston, Michigan, licensed in Michigan (6401006274) and active in the NPI registry since December 2015.
NPPES Registry Identity
NPI1780059360
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANA WIRTHCredential: MA, LPC
Location Address3694 CLARKSTON RD, SUITE DClarkston, MI 48348-5213
Mailing Address8907 Stonewall DrClarkston, MI 48348-4201 · (248) 884-4886
Phone(248) 693-8880
Fax(248) 391-7478
Sole ProprietorNo
Enumeration DateDecember 8, 2015
✔ NPI 1780059360 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6401006274
3694 CLARKSTON RD, Clarkston, MI 48348
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychologist (Clinical)
3694 CLARKSTON RD, SUITE D
CLARKSTON, MI 48348
CLARKSTON, MI 48348
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780059360, enumerated as an "individual" on December 08, 2015.
The provider is located at 3694 CLARKSTON RD SUITE D CLARKSTON, MI 48348 and the phone number is (248) 693-8880.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
