Healthcare Provider Details

I. General information

NPI: 1922578665
Provider Name (Legal Business Name): COMFORTABLE COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2018
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9008 HILLVIEW LN
JACKSON MI
49201-8150
US

IV. Provider business mailing address

9008 HILLVIEW LN
JACKSON MI
49201-8150
US

V. Phone/Fax

Practice location:
  • Phone: 262-305-9532
  • Fax:
Mailing address:
  • Phone: 262-305-9532
  • Fax:

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: ARIANA THELEN
Title or Position: OWNER / LMSW
Credential:
Phone: 734-203-0183