Provider Demographics
NPI:1093045791
Name:CARE CONTINUUM COUNSELING SERVICES
Entity Type:Organization
Organization Name:CARE CONTINUUM COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:VALARIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:FANE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:313-689-4150
Mailing Address - Street 1:27505 FRANKLIN RD
Mailing Address - Street 2:101
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-2374
Mailing Address - Country:US
Mailing Address - Phone:313-689-4150
Mailing Address - Fax:
Practice Address - Street 1:29877 TELEGRAPH RD
Practice Address - Street 2:SUITE 401
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1332
Practice Address - Country:US
Practice Address - Phone:313-689-4150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-04
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty