Provider Demographics
NPI:1831873934
Name:SIMPLY COUNSELING
Entity type:Organization
Organization Name:SIMPLY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:KONN
Authorized Official - Last Name:NEW
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:734-812-3379
Mailing Address - Street 1:PO BOX 5333
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-5333
Mailing Address - Country:US
Mailing Address - Phone:734-270-6732
Mailing Address - Fax:
Practice Address - Street 1:464 N MAIN ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-1347
Practice Address - Country:US
Practice Address - Phone:734-270-6732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty