Provider Demographics
NPI:1548934623
Name:INDEPENDENT CONSULTING LLC
Entity type:Organization
Organization Name:INDEPENDENT CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO CASE MANAGER / ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMI
Authorized Official - Middle Name:PARKER
Authorized Official - Last Name:GLASCO
Authorized Official - Suffix:
Authorized Official - Credentials:RNBSN CCM
Authorized Official - Phone:810-869-5051
Mailing Address - Street 1:PO BOX 1373
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48347-1373
Mailing Address - Country:US
Mailing Address - Phone:810-869-5051
Mailing Address - Fax:
Practice Address - Street 1:10146 ABERDEEN DR
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-9574
Practice Address - Country:US
Practice Address - Phone:810-869-5051
Practice Address - Fax:855-824-2920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Single Specialty