Healthcare Provider Details
I. General information
NPI: 1346420973
Provider Name (Legal Business Name): CONSUMER SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/12/2007
Last Update Date: 11/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2702 FLUSHING RD
FLINT MI
48504-4534
US
IV. Provider business mailing address
585 JEWETT RD
MASON MI
48854-9702
US
V. Phone/Fax
- Phone: 810-424-5998
- Fax: 810-424-6347
- Phone: 517-833-8100
- Fax: 517-676-5207
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
KATHLEEN
M
TAYLOR
Title or Position: CEO
Credential: LLMSW
Phone: 517-833-8100