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

Individual provider Mental Health Counselor · NPI 1942935978

Mr. Sidney Ross Bohanen, MALLPC is a Mental Health Counselor in Livonia, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
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Practice location Address checks out

29600 Pickford
Livonia, MI 48152-3464
Phone: (248) 242-2055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6451022153 (MI)

Record details

NPI number1942935978
Entity typeIndividual (Type 1)
GenderMale
Credentials MALLPC
Sole proprietorYes
NPI enumeratedJuly 22, 2022
Last updated in NPPESNovember 11, 2023
Certification dateNovember 11, 2023
Mailing address29600 Pickford, Livonia, MI 48152-3464

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