Provider Demographics
NPI:1851950356
Name:TRUNORTH COUNSELING, PLLC
Entity Type:Organization
Organization Name:TRUNORTH COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:L
Authorized Official - Last Name:ISELER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-960-5110
Mailing Address - Street 1:1312 WARREN AVE
Mailing Address - Street 2:UPPER LEVEL, RM #1
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49203-3732
Mailing Address - Country:US
Mailing Address - Phone:517-990-2224
Mailing Address - Fax:
Practice Address - Street 1:1312 WARREN AVE
Practice Address - Street 2:UPPER LEVEL, RM #1
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49203-3732
Practice Address - Country:US
Practice Address - Phone:517-990-2224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-08
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty