Provider Demographics
NPI:1811009301
Name:BATTLE CREEK COUNSELING ASSOCIATES, PC
Entity Type:Organization
Organization Name:BATTLE CREEK COUNSELING ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:R
Authorized Official - Last Name:STRANG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:269-962-2722
Mailing Address - Street 1:211 CAPITAL AVE NE
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017-3926
Mailing Address - Country:US
Mailing Address - Phone:269-962-2722
Mailing Address - Fax:269-964-8484
Practice Address - Street 1:211 CAPITAL AVE NE
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-3926
Practice Address - Country:US
Practice Address - Phone:269-962-2722
Practice Address - Fax:269-964-8484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301007127103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N92680Medicare ID - Type UnspecifiedPROVIDER NUMBER