Provider Demographics
NPI:1538605639
Name:RAINBOW'S END COUNSELING CENTER
Entity type:Organization
Organization Name:RAINBOW'S END COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKKANEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, DCSW
Authorized Official - Phone:906-635-1390
Mailing Address - Street 1:128 W SPRUCE ST STE 23
Mailing Address - Street 2:
Mailing Address - City:SAULT SAINTE MARIE
Mailing Address - State:MI
Mailing Address - Zip Code:49783-1959
Mailing Address - Country:US
Mailing Address - Phone:906-635-1390
Mailing Address - Fax:906-635-1390
Practice Address - Street 1:128 W SPRUCE ST STE 23
Practice Address - Street 2:
Practice Address - City:SAULT SAINTE MARIE
Practice Address - State:MI
Practice Address - Zip Code:49783-1959
Practice Address - Country:US
Practice Address - Phone:906-635-1390
Practice Address - Fax:906-635-1390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-12
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010801781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty