Provider Demographics
NPI:1205174265
Name:CLIENT CENTERED COUNSELING, INC.
Entity type:Organization
Organization Name:CLIENT CENTERED COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LORENE
Authorized Official - Middle Name:CAROLINE
Authorized Official - Last Name:GEARY
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:616-396-1659
Mailing Address - Street 1:91 W 18TH ST
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-4120
Mailing Address - Country:US
Mailing Address - Phone:616-396-1659
Mailing Address - Fax:616-396-1659
Practice Address - Street 1:91 W 18TH ST
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-4120
Practice Address - Country:US
Practice Address - Phone:616-396-1659
Practice Address - Fax:616-396-1659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-27
Last Update Date:2013-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801060095261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health