Provider Demographics
NPI:1790469989
Name:THERAPEUTIC CONNECTIONS COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:THERAPEUTIC CONNECTIONS COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:DIAMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:SNIPES
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW-C
Authorized Official - Phone:734-507-9128
Mailing Address - Street 1:15001 KERCHEVAL AVE
Mailing Address - Street 2:PMB 561
Mailing Address - City:GROSSE POINTE PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48230
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15001 KERCHEVAL AVE
Practice Address - Street 2:PMB 561
Practice Address - City:GROSSE POINTE PARK
Practice Address - State:MI
Practice Address - Zip Code:48230
Practice Address - Country:US
Practice Address - Phone:734-507-9128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty