Provider Demographics
NPI:1326743212
Name:TTK COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:TTK COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:TIEESHA
Authorized Official - Middle Name:TAREE
Authorized Official - Last Name:KETCHINGS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW/LMSW
Authorized Official - Phone:313-461-3091
Mailing Address - Street 1:32306 HUBER LN
Mailing Address - Street 2:
Mailing Address - City:FRASER
Mailing Address - State:MI
Mailing Address - Zip Code:48026-2128
Mailing Address - Country:US
Mailing Address - Phone:313-461-3091
Mailing Address - Fax:
Practice Address - Street 1:32306 HUBER LN
Practice Address - Street 2:
Practice Address - City:FRASER
Practice Address - State:MI
Practice Address - Zip Code:48026-2128
Practice Address - Country:US
Practice Address - Phone:313-461-3091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty