Provider Demographics
NPI:1447737028
Name:HEALING IN THE MOMENT COUNSELING
Entity type:Organization
Organization Name:HEALING IN THE MOMENT COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCRIPSICK
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, LBSW
Authorized Official - Phone:734-788-9032
Mailing Address - Street 1:7438 LACY DR
Mailing Address - Street 2:
Mailing Address - City:VAN BUREN TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48111-5369
Mailing Address - Country:US
Mailing Address - Phone:734-788-9032
Mailing Address - Fax:
Practice Address - Street 1:33150 SCHOOLCRAFT RD STE 102
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-1646
Practice Address - Country:US
Practice Address - Phone:734-788-9032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-25
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty