Provider Demographics
NPI:1174856439
Name:COUNSELING ON THE GO
Entity Type:Organization
Organization Name:COUNSELING ON THE GO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIANNE
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:NORTH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:517-398-0220
Mailing Address - Street 1:P.O. BOX 645
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MI
Mailing Address - Zip Code:49274
Mailing Address - Country:US
Mailing Address - Phone:517-398-0220
Mailing Address - Fax:517-901-0066
Practice Address - Street 1:311 WEST STREET
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MI
Practice Address - Zip Code:49274
Practice Address - Country:US
Practice Address - Phone:517-398-0220
Practice Address - Fax:517-901-0066
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNSELING ON THE GO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-17
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL1333720101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty