Provider Demographics
NPI:1659453272
Name:SOUTH HILL FAMILY COUNSELING, LLC
Entity Type:Organization
Organization Name:SOUTH HILL FAMILY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER/PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:VAN AKEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:253-848-2805
Mailing Address - Street 1:15127 MAIN STREET E SUITE 104
Mailing Address - Street 2:PMB 1007
Mailing Address - City:SUMNER
Mailing Address - State:WA
Mailing Address - Zip Code:98390-2689
Mailing Address - Country:US
Mailing Address - Phone:253-848-2805
Mailing Address - Fax:253-435-5980
Practice Address - Street 1:6314 19TH STREET W, STE 7
Practice Address - Street 2:
Practice Address - City:FIRCREST
Practice Address - State:WA
Practice Address - Zip Code:98466
Practice Address - Country:US
Practice Address - Phone:253-848-2805
Practice Address - Fax:253-435-5980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty