Provider Demographics
NPI:1407023856
Name:COUNSELING CONNECTIONS CORPORATION
Entity Type:Organization
Organization Name:COUNSELING CONNECTIONS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:S
Authorized Official - Last Name:FRANCIES
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:248-202-6715
Mailing Address - Street 1:722 ONETA ST
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48371-5073
Mailing Address - Country:US
Mailing Address - Phone:248-202-6715
Mailing Address - Fax:248-642-6832
Practice Address - Street 1:1251 S LAPEER RD
Practice Address - Street 2:SUITE 203
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48360-1414
Practice Address - Country:US
Practice Address - Phone:248-814-4040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401009097251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health