Organization Name: | IN PEACE COUNSELING SERVICES LLC |
NPI Number: | 1033424874 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIKAYLA TANNER (OWNER) |
Mailing Address: | 30400 Telegraph Rd Suite 331 Bingham Farms |
State: | MI US |
Postal Code: | 480254537 |
Phone Number: | 2486455960 |
Fax Number: | 2486450562 |
NPI Enumeration Date: | 08/17/2010 |
NPI Last Update Date: | 04/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801077738 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |