Healthcare Provider Details

I. General information

NPI: 1578154852
Provider Name (Legal Business Name): CLH COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2021
Last Update Date: 01/29/2021
Certification Date: 01/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4058 N LINDEN RD STE C
FLINT MI
48504-1381
US

IV. Provider business mailing address

4058 N LINDEN RD STE C
FLINT MI
48504-1381
US

V. Phone/Fax

Practice location:
  • Phone: 989-413-6410
  • Fax:
Mailing address:
  • Phone: 989-413-6410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JAMIE MILTON
Title or Position: OWNER
Credential: LPC
Phone: 989-413-6410