Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Professional Psychotherapy LLC

Organization Clinical Social Worker · NPI 1558178434

Professional Psychotherapy LLC is a Clinical Social Worker in Grosse Pointe Farms, Michigan. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

63 Kercheval Ave Ste 14
Grosse Pointe Farms, MI 48236-3656
Phone: (313) 215-1186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1558178434
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Runyon — Owner · (313) 215-1186
NPI enumeratedDecember 14, 2024
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025
Mailing address73 Hampton Rd, Grosse Pointe Shores, MI 48236-1316

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