Provider Demographics
NPI:1235665621
Name:RECOVERY COUNSELING
Entity Type:Organization
Organization Name:RECOVERY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, CBIS
Authorized Official - Phone:248-525-7296
Mailing Address - Street 1:1423 LEAFGREEN DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-4492
Mailing Address - Country:US
Mailing Address - Phone:248-525-7296
Mailing Address - Fax:284-850-7030
Practice Address - Street 1:1423 LEAFGREEN DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-4492
Practice Address - Country:US
Practice Address - Phone:248-525-7296
Practice Address - Fax:284-850-7030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-04
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401005480251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health