Provider Demographics
NPI:1598120164
Name:NOVA COUNSELING SERVICES INC.
Entity Type:Organization
Organization Name:NOVA COUNSELING SERVICES INC.
Other - Org Name:SAME
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-924-7439
Mailing Address - Street 1:41650 CLEMENS CIR
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-2864
Mailing Address - Country:US
Mailing Address - Phone:248-924-7439
Mailing Address - Fax:
Practice Address - Street 1:41650 CLEMENS CIRCLE
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377
Practice Address - Country:US
Practice Address - Phone:248-924-7439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-23
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801060068101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty