Provider Demographics
NPI:1811565377
Name:MIG COUNSELING PC
Entity Type:Organization
Organization Name:MIG COUNSELING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GISSER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:919-590-5858
Mailing Address - Street 1:233 SERENITY HILL CIR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-0390
Mailing Address - Country:US
Mailing Address - Phone:336-825-5433
Mailing Address - Fax:
Practice Address - Street 1:136 WEST ST.
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312
Practice Address - Country:US
Practice Address - Phone:919-590-5858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-11
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health