OrganizationActive
360 Psychotherapy and Consulting PLLC
NPI 1255953162 · Clinical Psychologist · Ferndale, MI
Provider details
- NPI number
- 1255953162
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Carrie Nantais, Owner/Clinical Psychologist
Mailing address
777 Livernois St
Ferndale, MI 48220-2306
Registry dates
- Enumerated
- 2020-05-13
- Last updated
- 2020-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.