Provider Demographics
NPI:1043096175
Name:HYSSONG COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:HYSSONG COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:HYSSONG
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:313-820-8089
Mailing Address - Street 1:3812 BELLA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-2852
Mailing Address - Country:US
Mailing Address - Phone:313-820-8089
Mailing Address - Fax:
Practice Address - Street 1:3812 BELLA VISTA DR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-2852
Practice Address - Country:US
Practice Address - Phone:313-820-8089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-05
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty