Provider Demographics
NPI:1073405585
Name:HART, SUHAD SUE
Entity type:Individual
Prefix:MRS
First Name:SUHAD
Middle Name:SUE
Last Name:HART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7020 COMMERCE RD
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48324-2408
Mailing Address - Country:US
Mailing Address - Phone:248-622-6640
Mailing Address - Fax:
Practice Address - Street 1:4415 SPRINGER AVE
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-6406
Practice Address - Country:US
Practice Address - Phone:313-255-8288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor