Provider Demographics
NPI:1659244010
Name:AFIOUNI, GHAISAA SOBHI
Entity type:Individual
Prefix:
First Name:GHAISAA
Middle Name:SOBHI
Last Name:AFIOUNI
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 1:27365 DAWSON ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-2803
Mailing Address - Country:US
Mailing Address - Phone:517-505-0977
Mailing Address - Fax:
Practice Address - Street 1:27365 DAWSON ST
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-2803
Practice Address - Country:US
Practice Address - Phone:517-505-0977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health