OrganizationActive
Diane P Cushing Lpc
NPI 1770940884 · Point of Service · Troy, MI
Provider details
- NPI number
- 1770940884
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Diane Cushing, Licensed Professional Counselor(248) 680-0796
- License
- 6401005517 (MI)
Specialties & taxonomies
Managed Care Organizations
Practice location
2888 E Long Lake Rd Ste 145
Troy, MI 48085-7010
Phone: (248) 680-0796
Fax: (248) 689-0626
Approximate (ZIP-level) locationGet directions
Mailing address
2888 E Long Lake Rd Ste 145
Troy, MI 48085-7010
Registry dates
- Enumerated
- 2016-01-20
- Last updated
- 2016-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.