Provider Demographics
NPI:1710148879
Name:LIFE & FAMILY COUNSELING
Entity Type:Organization
Organization Name:LIFE & FAMILY COUNSELING
Other - Org Name:FAMILY COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:HOCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:734-477-9999
Mailing Address - Street 1:3840 PACKARD ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-2280
Mailing Address - Country:US
Mailing Address - Phone:734-477-9999
Mailing Address - Fax:734-477-0955
Practice Address - Street 1:3840 PACKARD ST
Practice Address - Street 2:SUITE 220
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-2280
Practice Address - Country:US
Practice Address - Phone:734-477-9999
Practice Address - Fax:734-477-0955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-21
Last Update Date:2008-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301010843103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty