IndividualActive
Adam Anastasoff, M.A., L.P.C.
NPI 1194029991 · Professional Counselor · Ida, MI
Provider details
- NPI number
- 1194029991
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- M.A., L.P.C.
- Sex
- Male
- Sole proprietor
- No
- License
- 6401011875 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
13316 Ida Center Rd
Ida, MI 48140-9722
Phone: (734) 347-4950
Approximate (ZIP-level) locationGet directions
Mailing address
13316 Ida Center Rd
Ida, MI 48140-9722
Registry dates
- Enumerated
- 2011-01-07
- Last updated
- 2015-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.