Provider Demographics
NPI:1730282534
Name:NEIGHBORHOOD COUNSELING SERVICES CORPORATION
Entity Type:Organization
Organization Name:NEIGHBORHOOD COUNSELING SERVICES CORPORATION
Other - Org Name:NEIGHBORHOOD COUNSELING SERIVICES CORPORATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL THERAPIST PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:OGBONNA
Authorized Official - Last Name:AMADI
Authorized Official - Suffix:
Authorized Official - Credentials:MSW LMSW ACSW CACI
Authorized Official - Phone:734-244-7028
Mailing Address - Street 1:PO BOX 2313
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48161
Mailing Address - Country:US
Mailing Address - Phone:734-244-7028
Mailing Address - Fax:
Practice Address - Street 1:1112 E 6TH STREET
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48161
Practice Address - Country:US
Practice Address - Phone:734-244-7028
Practice Address - Fax:734-244-7028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1-03983101YA0400X
MI68010820631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty