Provider Demographics
NPI:1598411795
Name:FLEMING MCKOY COUNSELING LLC
Entity Type:Organization
Organization Name:FLEMING MCKOY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:R
Authorized Official - Last Name:MCKOY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:252-673-6769
Mailing Address - Street 1:14837 ASHTON RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48223-2346
Mailing Address - Country:US
Mailing Address - Phone:252-673-6769
Mailing Address - Fax:
Practice Address - Street 1:14837 ASHTON RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48223-2346
Practice Address - Country:US
Practice Address - Phone:252-673-6769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-25
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty