Provider Demographics
NPI:1265086136
Name:VENTURE COUNSELING
Entity type:Organization
Organization Name:VENTURE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDAMONE
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:586-216-5837
Mailing Address - Street 1:17187 CANVASBACK
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038
Mailing Address - Country:US
Mailing Address - Phone:586-216-5837
Mailing Address - Fax:586-466-5961
Practice Address - Street 1:198 S. MAIN STREET
Practice Address - Street 2:SUITE 2
Practice Address - City:MOUNT CLEMENS
Practice Address - State:MI
Practice Address - Zip Code:48043
Practice Address - Country:US
Practice Address - Phone:586-466-5960
Practice Address - Fax:586-466-5961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-30
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty