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

Jonatha Nisan Nathan, LLC

Individual provider Counselor · NPI 1457113003

Jonatha Nisan Nathan, LLC is a Counselor in Troy, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

625 E Big Beaver Rd Ste 200
Troy, MI 48083-1434
Phone: (586) 863-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 407 Maxwell Ave, Royal Oak, MI 48067-4606 — (917) 406-7036

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 6451023021 (MI)

Record details

NPI number1457113003
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLC
Sole proprietorNo
NPI enumeratedJanuary 29, 2024
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 29, 2024
Mailing address407 Maxwell Ave, Royal Oak, MI 48067-4606

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