Provider Demographics
NPI:1528593852
Name:ADA BROSIER COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:ADA BROSIER COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROSIER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW,LMSW
Authorized Official - Phone:989-430-3114
Mailing Address - Street 1:8347 10 MILE RD NE
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49341-7733
Mailing Address - Country:US
Mailing Address - Phone:989-430-3114
Mailing Address - Fax:
Practice Address - Street 1:1410 W MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:LOWELL
Practice Address - State:MI
Practice Address - Zip Code:49331-1585
Practice Address - Country:US
Practice Address - Phone:989-430-3114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010924051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty