Provider Demographics
NPI:1720789563
Name:KERNEL OF HOPE COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:KERNEL OF HOPE COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MASTER SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGGERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LMSW
Authorized Official - Phone:989-214-1771
Mailing Address - Street 1:5107 MAPLEGROVE CT
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-3142
Mailing Address - Country:US
Mailing Address - Phone:989-214-1771
Mailing Address - Fax:
Practice Address - Street 1:5107 MAPLEGROVE CT
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-3142
Practice Address - Country:US
Practice Address - Phone:989-214-1771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty