Healthcare Provider Details

I. General information

NPI: 1023054939
Provider Name (Legal Business Name): ARLEN W. EPP MDIV, MSW, LCSW, COUNSELING AND COACHING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3040A WINDSOR CT
ELKHART IN
46514-5555
US

IV. Provider business mailing address

PO BOX 384
CADILLAC MI
49601-0384
US

V. Phone/Fax

Practice location:
  • Phone: 574-262-9305
  • Fax: 574-262-9516
Mailing address:
  • Phone: 231-775-6076
  • Fax: 231-775-0027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ARLEN W EPP
Title or Position: OWNER
Credential: MSW, LCSW
Phone: 574-262-9305