Healthcare Provider Details

I. General information

NPI: 1457269813
Provider Name (Legal Business Name): THE CHAT ROOM COUNSELING GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2181 ROLLING BROOK LN
EAST LANSING MI
48823-1323
US

IV. Provider business mailing address

3003 E MICHIGAN AVE # 1124
LANSING MI
48912-4616
US

V. Phone/Fax

Practice location:
  • Phone: 517-715-8565
  • Fax:
Mailing address:
  • Phone: 517-715-8565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: HAVILAH M. JOHNS
Title or Position: OWNER
Credential: LMSW
Phone: 517-477-0089