Provider Demographics
NPI:1982259735
Name:RESPIRE COUNSELING SERVICES
Entity Type:Organization
Organization Name:RESPIRE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SELIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILIP
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:215-589-3994
Mailing Address - Street 1:1908 ROBINDALE DR
Mailing Address - Street 2:
Mailing Address - City:HOUGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:49931-2732
Mailing Address - Country:US
Mailing Address - Phone:215-589-3994
Mailing Address - Fax:
Practice Address - Street 1:902 RAZORBACK DR STE 5
Practice Address - Street 2:
Practice Address - City:HOUGHTON
Practice Address - State:MI
Practice Address - Zip Code:49931-2802
Practice Address - Country:US
Practice Address - Phone:906-205-1188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)