<Unavail>

LBN: The Source Counseling, Case Management And Consultation
<Unavail> is an health care organization with primary practice located at 29277 Southfield Rd Ste C , Southfield MI 48076-1922. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. The Source Counseling, Case Management And Consultation can be contacted via phone (313) 409-8073, or through Jackson, Shanna via phone (313) 544-3513.

Contact Information

Primary practice address
29277 Southfield Rd Ste C Southfield MI 48076-1922
Phone: (313) 409-8073
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Shanna Licensed Professional Counselor (LPC)
Phone: (313) 544-3513

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401013761 Michigan

Profile Details

NPI number 1437640687
LBN Legal business name The Source Counseling, Case Management And Consultation
DBA Doing business as <Unavail>
Authorized official Jackson, Shanna Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2018
Last updated May 23rd, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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