Healthcare Provider Details

I. General information

NPI: 1699214684
Provider Name (Legal Business Name): CAYA COUNSELING & CONSULTING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2017
Last Update Date: 11/16/2020
Certification Date: 11/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6206 W SAGINAW HWY SUITE B
LANSING MI
48917-2496
US

IV. Provider business mailing address

PO BOX 10
MASON MI
48854-0010
US

V. Phone/Fax

Practice location:
  • Phone: 517-676-9788
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801089814
License Number StateMI

VIII. Authorized Official

Name: KIMBERLY CENA
Title or Position: LMSW
Credential:
Phone: 517-388-5188