Provider Demographics
NPI:1518144971
Name:SHESPEAKS COUNSELING SERVICES, PLC
Entity Type:Organization
Organization Name:SHESPEAKS COUNSELING SERVICES, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:NADINE
Authorized Official - Middle Name:KATHRYN
Authorized Official - Last Name:DI IORIO
Authorized Official - Suffix:
Authorized Official - Credentials:LLMSW, MSW
Authorized Official - Phone:248-888-0111
Mailing Address - Street 1:33100 GRAND RIVER AVE
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:FARMINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48336-3120
Mailing Address - Country:US
Mailing Address - Phone:248-888-0111
Mailing Address - Fax:
Practice Address - Street 1:33100 GRAND RIVER AVE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48336-3120
Practice Address - Country:US
Practice Address - Phone:248-888-0111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801085772251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health