Provider Demographics
NPI:1144866906
Name:CENTERED COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:CENTERED COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SANTIAGO
Authorized Official - Middle Name:
Authorized Official - Last Name:OGANDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-338-7963
Mailing Address - Street 1:8350 KEPHART LN
Mailing Address - Street 2:
Mailing Address - City:BERRIEN SPRINGS
Mailing Address - State:MI
Mailing Address - Zip Code:49103-9570
Mailing Address - Country:US
Mailing Address - Phone:269-338-7963
Mailing Address - Fax:
Practice Address - Street 1:6572 RED ARROW HWY STE 2
Practice Address - Street 2:
Practice Address - City:COLOMA
Practice Address - State:MI
Practice Address - Zip Code:49038-8700
Practice Address - Country:US
Practice Address - Phone:269-205-3344
Practice Address - Fax:888-418-8655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-26
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty