Provider Demographics
NPI:1275965766
Name:D & S FAMILY COUNSELING
Entity Type:Organization
Organization Name:D & S FAMILY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DALE
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:EICHENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:LLPC
Authorized Official - Phone:517-581-7174
Mailing Address - Street 1:129 W MAIN ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MORENCI
Mailing Address - State:MI
Mailing Address - Zip Code:49256-1418
Mailing Address - Country:US
Mailing Address - Phone:517-581-7174
Mailing Address - Fax:
Practice Address - Street 1:6711 HOXIE RD
Practice Address - Street 2:
Practice Address - City:NORTH ADAMS
Practice Address - State:MI
Practice Address - Zip Code:49262-9710
Practice Address - Country:US
Practice Address - Phone:517-315-3833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1992935316OtherTYPE 1 NPI
MI1225162621OtherTYPE 1 NPI