Healthcare Provider Details

I. General information

NPI: 1770109563
Provider Name (Legal Business Name): CMS COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2020
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8255 MAIN STREET
BIRCH RUN MI
48415
US

IV. Provider business mailing address

8255 MAIN STREET
BIRCH RUN MI
48415
US

V. Phone/Fax

Practice location:
  • Phone: 989-444-9358
  • Fax:
Mailing address:
  • Phone: 989-444-9358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMANDA K KLEINFELD
Title or Position: OWNER
Credential: MA LPC
Phone: 989-444-9358