Provider Demographics
NPI:1295425478
Name:PAINTED SKY COUNSELING LLC
Entity type:Organization
Organization Name:PAINTED SKY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMSW/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-460-3071
Mailing Address - Street 1:6050 PHEASANT RUN
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-4773
Mailing Address - Country:US
Mailing Address - Phone:734-460-3071
Mailing Address - Fax:
Practice Address - Street 1:6050 PHEASANT RUN
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-4773
Practice Address - Country:US
Practice Address - Phone:734-460-3071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty