Organization Name: | VICTORY COUNSELING SERVICES, LLC |
NPI Number: | 1053646968 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VONETTA RESHAN MCGINNIS (OWNER/THERAPIST) |
Mailing Address: | 185 E Main St Ste 402 Benton Harbor |
State: | MI US |
Postal Code: | 490224431 |
Phone Number: | 2699258222 |
Fax Number: | 2699258354 |
NPI Enumeration Date: | 10/09/2009 |
NPI Last Update Date: | 02/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801088738 |
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 |