Provider Demographics
NPI:1922658624
Name:NORTHERN COUNSELING ASSOCIATION PLLC
Entity Type:Organization
Organization Name:NORTHERN COUNSELING ASSOCIATION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:LOU
Authorized Official - Last Name:REMINDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-345-0957
Mailing Address - Street 1:2345 GREEN RD
Mailing Address - Street 2:
Mailing Address - City:WEST BRANCH
Mailing Address - State:MI
Mailing Address - Zip Code:48661-9153
Mailing Address - Country:US
Mailing Address - Phone:989-965-2113
Mailing Address - Fax:
Practice Address - Street 1:337 E HOUGHTON AVE
Practice Address - Street 2:
Practice Address - City:WEST BRANCH
Practice Address - State:MI
Practice Address - Zip Code:48661-1127
Practice Address - Country:US
Practice Address - Phone:989-329-1224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty