Provider Demographics
NPI:1588609861
Name:COUNSELING AND EVALUATION PLLC
Entity Type:Organization
Organization Name:COUNSELING AND EVALUATION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEO
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SZALMA
Authorized Official - Suffix:
Authorized Official - Credentials:LLP
Authorized Official - Phone:586-781-8400
Mailing Address - Street 1:53950 VAN DYKE AVE
Mailing Address - Street 2:SUITE 210B
Mailing Address - City:SHELBY TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48316
Mailing Address - Country:US
Mailing Address - Phone:586-781-8400
Mailing Address - Fax:586-781-8300
Practice Address - Street 1:53950 VAN DYKE AVE
Practice Address - Street 2:SUITE 210B
Practice Address - City:SHELBY TWP
Practice Address - State:MI
Practice Address - Zip Code:48316
Practice Address - Country:US
Practice Address - Phone:586-781-8400
Practice Address - Fax:586-781-8300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI500432261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)