Ashley Grimes, LLPC
Counselor, Professional in Detroit, MI. Individual provider (NPI-1).
NPI number1124584073
StatusActive
Last updated in NPPESOct 29, 2019
Details
- NPI
- 1124584073
- Entity type
- Individual (NPI-1)
- Name
- Ashley Grimes
- Credential
- LLPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2019
- Last updated
- Oct 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6401017128 | MI | Yes |
Practice location
19750 Burt RdDetroit, MI 48219-2078
Phone 313-977-9550 · Fax 313-255-3465
Mailing address
14361 Faust AveDetroit, MI 48223-3543
Phone 313-587-0097
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