Provider Demographics
NPI:1356370522
Name:ADVANCED COUNSELING SERVICES
Entity type:Organization
Organization Name:ADVANCED COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:H
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-737-1200
Mailing Address - Street 1:6223 N CANTON CENTER RD
Mailing Address - Street 2:STE. 210
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-2696
Mailing Address - Country:US
Mailing Address - Phone:734-737-1200
Mailing Address - Fax:734-737-1205
Practice Address - Street 1:6223 N CANTON CENTER RD
Practice Address - Street 2:STE. 210
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-2696
Practice Address - Country:US
Practice Address - Phone:734-737-1200
Practice Address - Fax:734-737-1205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301065054273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit