Provider Demographics
NPI:1043968423
Name:EMILY S. KOHLER, LMSW PLLC
Entity Type:Organization
Organization Name:EMILY S. KOHLER, LMSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:KOHLER
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:231-715-6071
Mailing Address - Street 1:11145 E FORT RD
Mailing Address - Street 2:
Mailing Address - City:SUTTONS BAY
Mailing Address - State:MI
Mailing Address - Zip Code:49682-9516
Mailing Address - Country:US
Mailing Address - Phone:231-715-6071
Mailing Address - Fax:
Practice Address - Street 1:101 E DAME ST # 3
Practice Address - Street 2:
Practice Address - City:SUTTONS BAY
Practice Address - State:MI
Practice Address - Zip Code:49682-5100
Practice Address - Country:US
Practice Address - Phone:231-715-6071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)