Provider Demographics
NPI:1558025551
Name:HIAWATHA COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:HIAWATHA COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWAKE
Authorized Official - Suffix:II
Authorized Official - Credentials:LMSW
Authorized Official - Phone:906-399-9628
Mailing Address - Street 1:3584 10TH RD
Mailing Address - Street 2:
Mailing Address - City:BARK RIVER
Mailing Address - State:MI
Mailing Address - Zip Code:49807-9734
Mailing Address - Country:US
Mailing Address - Phone:906-399-9628
Mailing Address - Fax:
Practice Address - Street 1:1100 LUDINGTON ST STE 306
Practice Address - Street 2:
Practice Address - City:ESCANABA
Practice Address - State:MI
Practice Address - Zip Code:49829-3500
Practice Address - Country:US
Practice Address - Phone:906-399-9628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty