Provider Demographics
NPI:1215602677
Name:IN THE MITTEN COUNSELING LLC
Entity Type:Organization
Organization Name:IN THE MITTEN COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE M
Authorized Official - Middle Name:MONAN
Authorized Official - Last Name:M
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:248-469-5621
Mailing Address - Street 1:PO BOX 561
Mailing Address - Street 2:
Mailing Address - City:SUTTONS BAY
Mailing Address - State:MI
Mailing Address - Zip Code:49682-0561
Mailing Address - Country:US
Mailing Address - Phone:248-469-5621
Mailing Address - Fax:
Practice Address - Street 1:2160 N WEST BAY SHORE DR
Practice Address - Street 2:
Practice Address - City:SUTTONS BAY
Practice Address - State:MI
Practice Address - Zip Code:49682-9369
Practice Address - Country:US
Practice Address - Phone:248-469-5621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty