Provider Demographics
NPI:1295022119
Name:TAS CONSULTING & COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:TAS CONSULTING & COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:A
Authorized Official - Last Name:STRONG
Authorized Official - Suffix:
Authorized Official - Credentials:LLPC
Authorized Official - Phone:313-656-7155
Mailing Address - Street 1:19252 MIDWAY RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-7148
Mailing Address - Country:US
Mailing Address - Phone:313-656-7155
Mailing Address - Fax:
Practice Address - Street 1:19252 MIDWAY RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-7148
Practice Address - Country:US
Practice Address - Phone:313-656-7155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401010357251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health