Provider Demographics
NPI:1770126203
Name:SKILLFUL SOLUTIONS COUNSELING AND CONSULTING
Entity type:Organization
Organization Name:SKILLFUL SOLUTIONS COUNSELING AND CONSULTING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGERS
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLEGOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-483-2461
Mailing Address - Street 1:3800 HERITAGE AVE STE A2
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-2871
Mailing Address - Country:US
Mailing Address - Phone:517-449-3786
Mailing Address - Fax:517-347-9622
Practice Address - Street 1:3800 HERITAGE AVE STE A2
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-2871
Practice Address - Country:US
Practice Address - Phone:517-449-3786
Practice Address - Fax:517-347-9622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-28
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty