Provider Demographics
NPI:1740919406
Name:EUCALYPTUS COUNSELING SERVICES PLC
Entity type:Organization
Organization Name:EUCALYPTUS COUNSELING SERVICES PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:CUNNINGS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:248-504-7406
Mailing Address - Street 1:18600 NORTHVILLE RD STE 500
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48168-3559
Mailing Address - Country:US
Mailing Address - Phone:248-504-7406
Mailing Address - Fax:
Practice Address - Street 1:18600 NORTHVILLE RD STE 500
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48168-3559
Practice Address - Country:US
Practice Address - Phone:248-504-7406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty