1982031308 NPI number — CONNECTIONS COUNSELING AND CONSULTING SERVICES LLC

Table of content: (NPI 1982031308)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982031308 NPI number — CONNECTIONS COUNSELING AND CONSULTING SERVICES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CONNECTIONS COUNSELING AND CONSULTING SERVICES 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:
1982031308
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/30/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1703 HACK RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MILAN
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48160-9513
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
734-508-6140
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
52 E MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILAN
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48160-1247
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-508-6140
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/30/2013

Additional Information

Authorized Official

Authorized Official Last Name:
SHEELEY
Authorized Official First Name:
SUSAN
Authorized Official Middle Name:
M
Authorized Official Title or Position:
LPC
Authorized Official Telephone Number:
734-508-6140

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  6401008253 , 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)





Copyright © 2007-2025 www.npivalidator.com