Provider Demographics
NPI:1255687935
Name:THRESHOLD COUNSELING SERVICES
Entity Type:Organization
Organization Name:THRESHOLD COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAYE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:LLPC
Authorized Official - Phone:269-270-5358
Mailing Address - Street 1:329 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:THREE RIVERS
Mailing Address - State:MI
Mailing Address - Zip Code:49093-1116
Mailing Address - Country:US
Mailing Address - Phone:269-270-5358
Mailing Address - Fax:269-858-3514
Practice Address - Street 1:329 6TH AVE
Practice Address - Street 2:
Practice Address - City:THREE RIVERS
Practice Address - State:MI
Practice Address - Zip Code:49093-1116
Practice Address - Country:US
Practice Address - Phone:269-270-5358
Practice Address - Fax:269-858-3514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty