Organization Name: | INNER STRENGTH COUNSELING SERVICES PLLC |
NPI Number: | 1609246719 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACQUELINE MEYERS (OWNER) |
Mailing Address: | 28345 Beck Rd Suite 305 Wixom |
State: | MI US |
Postal Code: | 483934733 |
Phone Number: | 5868799579 |
Fax Number: | 8448842778 |
NPI Enumeration Date: | 10/01/2015 |
NPI Last Update Date: | 02/08/2016 |
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: |