Provider Demographics
NPI:1679830681
Name:WORDS OF ENCOURAGEMENT COUNSELING AGENCY PC
Entity Type:Organization
Organization Name:WORDS OF ENCOURAGEMENT COUNSELING AGENCY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MR
Authorized Official - First Name:FERD
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:RETT
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:810-230-8459
Mailing Address - Street 1:2522 WINONA ST
Mailing Address - Street 2:P O BOX 13537 FLINT, MI 48501
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48504-2774
Mailing Address - Country:US
Mailing Address - Phone:810-233-8764
Mailing Address - Fax:810-230-8459
Practice Address - Street 1:G3500 FLUSHING RD
Practice Address - Street 2:SUITE #112
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48504-4235
Practice Address - Country:US
Practice Address - Phone:810-230-8617
Practice Address - Fax:810-230-8459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-13
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1041C0700X1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty