Provider Demographics
NPI:1356903660
Name:ROCHESTER AREA COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:ROCHESTER AREA COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TOBI
Authorized Official - Middle Name:Y
Authorized Official - Last Name:RUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-266-6166
Mailing Address - Street 1:130 HAMPTON CIR STE 130
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4113
Mailing Address - Country:US
Mailing Address - Phone:248-266-6166
Mailing Address - Fax:248-841-4714
Practice Address - Street 1:130 HAMPTON CIR STE 130
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-4113
Practice Address - Country:US
Practice Address - Phone:248-266-6166
Practice Address - Fax:248-841-4714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-08
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty