Provider Demographics
NPI:1376272484
Name:INTEGRATIVE POSITIVE CHOICES COUNSELING GROUP PLLC
Entity Type:Organization
Organization Name:INTEGRATIVE POSITIVE CHOICES COUNSELING GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED
Authorized Official - Prefix:
Authorized Official - First Name:MARQUISE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:586-806-6195
Mailing Address - Street 1:12434 E 12 MILE RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-3536
Mailing Address - Country:US
Mailing Address - Phone:586-806-6195
Mailing Address - Fax:
Practice Address - Street 1:12434 E 12 MILE RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-3536
Practice Address - Country:US
Practice Address - Phone:586-806-6195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-06
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty