Provider Demographics
NPI:1720710445
Name:DISCOVER YOU COUNSELING LLC
Entity Type:Organization
Organization Name:DISCOVER YOU COUNSELING LLC
Other - Org Name:DISCOVER YOU COUNSELING LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CLINICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CAMMY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CAADC, CCS
Authorized Official - Phone:616-493-2683
Mailing Address - Street 1:3614 PINE OAK AVE SW APT 304
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49509-3900
Mailing Address - Country:US
Mailing Address - Phone:616-493-2683
Mailing Address - Fax:
Practice Address - Street 1:3614 PINE OAK AVE SW APT 304
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49509-3900
Practice Address - Country:US
Practice Address - Phone:616-460-2164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-30
Last Update Date:2022-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty