Provider Demographics
NPI:1043442478
Name:MEANINGFUL CHANGE COUNSELING SOLUTIONS,INC
Entity type:Organization
Organization Name:MEANINGFUL CHANGE COUNSELING SOLUTIONS,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:LLMSW
Authorized Official - Phone:248-837-5318
Mailing Address - Street 1:PO BOX 48193
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-5893
Mailing Address - Country:US
Mailing Address - Phone:248-837-5318
Mailing Address - Fax:248-987-4460
Practice Address - Street 1:23210 MIDDLEBELT RD
Practice Address - Street 2:202
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-3696
Practice Address - Country:US
Practice Address - Phone:248-837-5318
Practice Address - Fax:248-987-4460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-18
Last Update Date:2009-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801091498251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management