1427444736 NPI number — ALTERNATIVE SOLUTIONS COUNSELING LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427444736 NPI number — ALTERNATIVE SOLUTIONS COUNSELING LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALTERNATIVE SOLUTIONS COUNSELING LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427444736
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/13/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6303 26 MILE RD
Provider Second Line Business Mailing Address:
STE 120
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48094-3825
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
586-604-1339
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6303 26 MILE RD
Provider Second Line Business Practice Location Address:
STE 120
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48094-3825
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
586-604-1339
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/13/2015

Additional Information

Authorized Official

Authorized Official Last Name:
MAFFETONE
Authorized Official First Name:
REBECCA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/CLINCIAL SOCIAL WORKER
Authorized Official Telephone Number:
586-604-1339

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  6801074044 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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