Healthcare Provider Details

I. General information

NPI: 1700066339
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: 04/12/2022
Certification Date: 04/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

585 JEWETT RD
MASON MI
48854-8729
US

IV. Provider business mailing address

PO BOX 289
MASON MI
48854-0289
US

V. Phone/Fax

Practice location:
  • Phone: 517-676-5405
  • Fax: 517-676-5207
Mailing address:
  • Phone: 517-676-5405
  • Fax: 517-676-5207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER ANNE GRIESE
Title or Position: BILLING DIRECTOR
Credential:
Phone: 517-676-5405