Provider Demographics
NPI:1609246719
Name:INNER STRENGTH COUNSELING SERVICES PLLC
Entity Type:Organization
Organization Name:INNER STRENGTH COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:586-879-9579
Mailing Address - Street 1:28345 BECK RD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:WIXOM
Mailing Address - State:MI
Mailing Address - Zip Code:48393-4733
Mailing Address - Country:US
Mailing Address - Phone:586-879-9579
Mailing Address - Fax:844-884-2778
Practice Address - Street 1:28345 BECK RD
Practice Address - Street 2:SUITE 305
Practice Address - City:WIXOM
Practice Address - State:MI
Practice Address - Zip Code:48393-4733
Practice Address - Country:US
Practice Address - Phone:586-879-9579
Practice Address - Fax:844-884-2778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-01
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301015288103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty