Provider Demographics
NPI:1902552680
Name:RAI SEED COUNSELING SERVICES PLLC
Entity Type:Organization
Organization Name:RAI SEED COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEMMA
Authorized Official - Middle Name:S
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-303-7843
Mailing Address - Street 1:19754 E 14 MILE RD
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-1165
Mailing Address - Country:US
Mailing Address - Phone:586-303-7843
Mailing Address - Fax:586-415-6932
Practice Address - Street 1:19754 E 14 MILE RD
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-1165
Practice Address - Country:US
Practice Address - Phone:586-303-7843
Practice Address - Fax:586-415-6932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-22
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty