| Organization Name: | INNER STRENGTH COUNSELING SERVICES PLCC |
| NPI Number: | 1033578596 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACQUELINE A MEYERS (OWNER) |
| Mailing Address: | 28345 Beck Rd Suite 305 Wixom |
| State: | MI US |
| Postal Code: | 483934733 |
| Phone Number: | 5868799579 |
| Fax Number: | |
| NPI Enumeration Date: | 02/12/2016 |
| NPI Last Update Date: | 02/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301015288 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |