Amir Executives
Counselor, Professional in Southfield, MI. Organization (NPI-2).
NPI number1164526380
StatusActive
Last updated in NPPESFeb 18, 2009
Details
- NPI
- 1164526380
- Entity type
- Organization (NPI-2)
- Legal business name
- Amir Executives
- Organization subpart
- No
- Enumeration date
- Sep 8, 2006
- Last updated
- Feb 18, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6401001831 | MI | Yes |
| 1041C0700X | Social Worker, Clinical | 6801062749 | MI |
Practice location
19111 West Ten Mile RoadSuite 203
Southfield, MI 48075-2443
Phone 248-945-0200 · Fax 248-945-0204
Mailing address
19111 West Ten Mile RoadSuite 203
Southfield, MI 48075-2443
Phone 248-945-0200 · Fax 248-945-0204
Authorized official
Allen Cushingberry
Ceo
2489450200
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