Elysian Counseling, LLC

NPI #1902517279 in Clinton, Michigan

Provider Information

NPI Number: 1902517279
Entity Type: Organization
Organization Name: Elysian Counseling, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Dec 7, 2022
Last Updated: Dec 7, 2022

Practice Location

Address: 12663 CLINTON RD
City: Clinton
State: Michigan
ZIP Code: 49236-9670
Phone: (734) 548-3606

Authorized Official

Name: TAMI MORENO, LMSW - CLINICAL
Title: PSYCHOTHERAPIST/OWNER
Phone: (734) 548-3606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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