Provider Demographics
NPI:1336656396
Name:RED ARROW COUNSELING
Entity Type:Organization
Organization Name:RED ARROW COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:HANLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:614-316-1300
Mailing Address - Street 1:316 S BLUFF ST
Mailing Address - Street 2:
Mailing Address - City:BERRIEN SPRINGS
Mailing Address - State:MI
Mailing Address - Zip Code:49103-1202
Mailing Address - Country:US
Mailing Address - Phone:614-316-1300
Mailing Address - Fax:
Practice Address - Street 1:497 E SHAWNEE RD
Practice Address - Street 2:
Practice Address - City:BARODA
Practice Address - State:MI
Practice Address - Zip Code:49101-8710
Practice Address - Country:US
Practice Address - Phone:614-316-1300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-29
Last Update Date:2017-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014744261QM0801X, 261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health