Provider Demographics
NPI:1720413057
Name:STABLE TODAY INSPIRATIONAL COUNSELING AND LITERATURE AGENCY S
Entity Type:Organization
Organization Name:STABLE TODAY INSPIRATIONAL COUNSELING AND LITERATURE AGENCY S
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMSW
Authorized Official - Prefix:
Authorized Official - First Name:DELORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:734-904-8848
Mailing Address - Street 1:15542 PEBBLEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48111-5188
Mailing Address - Country:US
Mailing Address - Phone:734-904-8848
Mailing Address - Fax:734-414-0769
Practice Address - Street 1:15542 PEBBLEBROOK DR
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48111-5188
Practice Address - Country:US
Practice Address - Phone:734-904-8848
Practice Address - Fax:734-414-0769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-05
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801063304104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1114212339OtherIND NPI #
MI6801063304OtherLICENSE