Provider Demographics
NPI:1285208124
Name:ESTEEM CHRISTIAN COUNSELING SERVICES,LLC
Entity Type:Organization
Organization Name:ESTEEM CHRISTIAN COUNSELING SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:IJEOMA
Authorized Official - Last Name:EKE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWLCDC
Authorized Official - Phone:313-923-7058
Mailing Address - Street 1:516 N LOOP 250 W APT 821
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79703-5214
Mailing Address - Country:US
Mailing Address - Phone:231-468-8416
Mailing Address - Fax:
Practice Address - Street 1:516 N LOOP 250 W APT 821
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79703-5214
Practice Address - Country:US
Practice Address - Phone:231-468-8416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-15
Last Update Date:2021-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty