Provider Demographics
NPI:1902427461
Name:HICKS COUNSELING AND HEALTH COACHING
Entity Type:Organization
Organization Name:HICKS COUNSELING AND HEALTH COACHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:517-867-3419
Mailing Address - Street 1:180 W MICHIGAN AVE STE 802
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49201-1300
Mailing Address - Country:US
Mailing Address - Phone:517-867-3419
Mailing Address - Fax:517-252-2706
Practice Address - Street 1:180 W MICHIGAN AVE STE 802
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-1300
Practice Address - Country:US
Practice Address - Phone:517-867-3419
Practice Address - Fax:517-252-2706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty