Provider Demographics
NPI:1497915029
Name:THE FAMILY HEALTH COUNSELING CENTER PLC
Entity Type:Organization
Organization Name:THE FAMILY HEALTH COUNSELING CENTER PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SUSANNE
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:BALLARD
Authorized Official - Suffix:
Authorized Official - Credentials:BS, LLMSW
Authorized Official - Phone:517-518-1444
Mailing Address - Street 1:4660 MARSH RD
Mailing Address - Street 2:SUITE 27
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-2143
Mailing Address - Country:US
Mailing Address - Phone:517-327-6099
Mailing Address - Fax:517-327-6099
Practice Address - Street 1:4660 MARSH RD
Practice Address - Street 2:SUITE 27
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-2143
Practice Address - Country:US
Practice Address - Phone:517-327-6099
Practice Address - Fax:517-327-6099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801085331251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP208978490OtherBLUE CROSS