Pediatric Counseling Center, Llc in Kalamazoo - Clinical
Pediatric Counseling Center, Llc - NPI 1154583235
Pediatric Counseling Center, Llc is a Clinical in Kalamazoo, Michigan. Pediatric Counseling Center, Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Pediatric Counseling Center, Llc is 1154583235. The last update date is 2008-06-30.
Pediatric Counseling Center, Llc's current location address is 950 N 10th St, Kalamazoo, Michigan. You can contact this provider via phone number 2693726500 and fax number 2693726503. The mailing address for Pediatric Counseling Center, Llc is 950 N 10th St, Kalamazoo, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Counseling Center, Llc |
|---|---|
| Address | 950 N 10th St, Kalamazoo, Michigan |
| Phone Number | 2693726500 |
| Fax Number | 2693726503 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ten Broeke Jodi |
| Telephone Number | 2693726500 |
NPI Number Detail
| NPI Number | 1154583235 |
|---|---|
| Provider Enumeration Date | 2008-06-30 |
| Last Updated Date | 2008-06-30 |
Provider Mailing Address Detail
| Address | 950 N 10th St |
|---|---|
| City | Kalamazoo |
| State | Michigan (MI) |
| Post Code | 490096112 |
| Phone Number | 2693726500 |
| Fax Number | 2693726503 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801081725 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identifier code issued to Pediatric Counseling Center, Llc by the Centers for Medicare & Medicaid Services?
The Pediatric Counseling Center, Llc has been assigned the NPI (National Provider Identifier) 1154583235. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Pediatric Counseling Center, Llc?
The Pediatric Counseling Center, Llc is physically situated at 950 N 10Th St, in the city of Kalamazoo, state of MI, with the postal code 490096112.
What is the Pediatric Counseling Center, Llc's specialty and taxonomy code?
The Pediatric Counseling Center, Llc's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Pediatric Counseling Center, Llc's 1154583235 issued?
The Pediatric Counseling Center, Llc's 1154583235 was issued on 2008-06-30.
When was the Pediatric Counseling Center, Llc's information last updated?
The Pediatric Counseling Center, Llc's information was last updated on 2008-06-30.