Provider Demographics
NPI:1518708197
Name:MONFILS, CORI (LLMSW)
Entity type:Individual
Prefix:MRS
First Name:CORI
Middle Name:
Last Name:MONFILS
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6420 S 27 RD
Mailing Address - Street 2:
Mailing Address - City:CADILLAC
Mailing Address - State:MI
Mailing Address - Zip Code:49601-8551
Mailing Address - Country:US
Mailing Address - Phone:231-429-0992
Mailing Address - Fax:
Practice Address - Street 1:8865 PROFESSIONAL DR STE 3
Practice Address - Street 2:
Practice Address - City:CADILLAC
Practice Address - State:MI
Practice Address - Zip Code:49601-8627
Practice Address - Country:US
Practice Address - Phone:231-285-0005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511183311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical