OrganizationSoulstice Counseling(Ken Whittum)Community/Behavioral HealthAgenciesPractice Address38828 Grandon St, Livonia, MI 48150-3381(734) 368-4571PECOS EnrollmentBased on the most recent information from CMS, provider Soulstice Counseling does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 4:18 PM.Profile DetailsProvider ID1245623057Provider TypeOrganizationFull NameSoulstice CounselingOther NameKen WhittumSubpartNoEnumeration Date3/18/2015Last Updated3/18/2015Contact InformationPractice LocationPractice Address38828 Grandon St, Livonia, MI 48150-3381Phone(734) 368-4571FaxUnlisted FaxMailing LocationMailing Address38828 Grandon St, Livonia, MI 48150-3381Phone(734) 368-4571FaxUnlisted FaxAuthorized OfficialNameWhittum, Kenneth D (Director/Therapist)Phone(734) 368-4571Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicense6401013328Michigan