Provider Demographics
NPI:1912181322
Name:FAMILY COUNSELING & SHELTER SERVICES
Entity Type:Organization
Organization Name:FAMILY COUNSELING & SHELTER SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:K
Authorized Official - Last Name:SLUSHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-241-0180
Mailing Address - Street 1:14930 LAPLAISANCE RD STE 106
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48161-3871
Mailing Address - Country:US
Mailing Address - Phone:734-241-0180
Mailing Address - Fax:734-241-8259
Practice Address - Street 1:14930 LAPLAISANCE RD STE 106
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48161-3871
Practice Address - Country:US
Practice Address - Phone:734-241-0180
Practice Address - Fax:734-241-8259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI822044251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health