Provider Demographics
NPI:1437160132
Name:YOUKHANNA, FERIAL O (LMSW)
Entity type:Individual
Prefix:
First Name:FERIAL
Middle Name:O
Last Name:YOUKHANNA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37300 DEQUINDRE RD
Mailing Address - Street 2:STE B
Mailing Address - City:STERLING HTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-3591
Mailing Address - Country:US
Mailing Address - Phone:586-264-3692
Mailing Address - Fax:586-939-5953
Practice Address - Street 1:37300 DEQUINDRE RD.
Practice Address - Street 2:SUITE 100B
Practice Address - City:STERLING HTS
Practice Address - State:MI
Practice Address - Zip Code:48310-4853
Practice Address - Country:US
Practice Address - Phone:586-264-3692
Practice Address - Fax:586-939-5953
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010783691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical