Provider Demographics
NPI:1821650516
Name:APLJAK COUNSELING
Entity Type:Organization
Organization Name:APLJAK COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JAKUBUS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:734-548-1764
Mailing Address - Street 1:57224 TANGLEWOOD ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:48048-2993
Mailing Address - Country:US
Mailing Address - Phone:734-548-1764
Mailing Address - Fax:866-557-4901
Practice Address - Street 1:57224 TANGLEWOOD ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:MI
Practice Address - Zip Code:48048-2993
Practice Address - Country:US
Practice Address - Phone:734-548-1764
Practice Address - Fax:866-557-4901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-02
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)