Provider Demographics
NPI:1922761048
Name:CEE CEES COUNSELING SERVICE
Entity Type:Organization
Organization Name:CEE CEES COUNSELING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:COTRENA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBLISS
Authorized Official - Suffix:
Authorized Official - Credentials:LLPC
Authorized Official - Phone:248-506-7500
Mailing Address - Street 1:1716 MIDTOWN CIR UNIT G
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-2097
Mailing Address - Country:US
Mailing Address - Phone:248-506-7500
Mailing Address - Fax:
Practice Address - Street 1:1716 MIDTOWN CIR UNIT G
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-2097
Practice Address - Country:US
Practice Address - Phone:248-506-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-15
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MICVO135095Medicaid