Provider Demographics
NPI:1932102308
Name:MICHAEL MOONEY, INC
Entity Type:Organization
Organization Name:MICHAEL MOONEY, INC
Other - Org Name:CHOICES COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MOONEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LLP, CAC-II, CCS
Authorized Official - Phone:586-772-5101
Mailing Address - Street 1:27730 GRATIOT AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-4838
Mailing Address - Country:US
Mailing Address - Phone:586-772-5101
Mailing Address - Fax:586-772-5102
Practice Address - Street 1:27700 GRATIOT AVE STE 202
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-4880
Practice Address - Country:US
Practice Address - Phone:586-350-6800
Practice Address - Fax:586-772-5102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-31
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty