Provider Demographics
NPI:1518354471
Name:TC COUNSELING TRANSFORMATIONS, PLLC
Entity Type:Organization
Organization Name:TC COUNSELING TRANSFORMATIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & LICENSED PROFESSIONAL COUNS
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-604-9101
Mailing Address - Street 1:58089 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:48048-2697
Mailing Address - Country:US
Mailing Address - Phone:586-604-9101
Mailing Address - Fax:586-690-4902
Practice Address - Street 1:58089 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:MI
Practice Address - Zip Code:48048-2697
Practice Address - Country:US
Practice Address - Phone:586-604-9101
Practice Address - Fax:586-690-4902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-17
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401011891101YP2500X, 101YP2500X
MI68010958781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1255583571OtherINDIVIDUAL NPI