Provider Demographics
NPI:1245565449
Name:HAGUE & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:HAGUE & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGUE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, LMSW, ACSW
Authorized Official - Phone:734-395-0343
Mailing Address - Street 1:1013 FOUNTAIN ST
Mailing Address - Street 2:2
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-3292
Mailing Address - Country:US
Mailing Address - Phone:734-395-0343
Mailing Address - Fax:313-454-8451
Practice Address - Street 1:1945 PAULINE BLVD
Practice Address - Street 2:SUITE 15C
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-5047
Practice Address - Country:US
Practice Address - Phone:734-395-0343
Practice Address - Fax:313-454-8451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-06
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010853381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2219Medicare PIN