Healthcare Provider Details

I. General information

NPI: 1255687935
Provider Name (Legal Business Name): THRESHOLD COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2012
Last Update Date: 07/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 6TH AVE
THREE RIVERS MI
49093-1116
US

IV. Provider business mailing address

329 6TH AVE
THREE RIVERS MI
49093-1116
US

V. Phone/Fax

Practice location:
  • Phone: 269-270-5358
  • Fax: 269-858-3514
Mailing address:
  • Phone: 269-270-5358
  • Fax: 269-858-3514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. KAYE SANDERS
Title or Position: OWNER/COUNSELOR
Credential: LLPC
Phone: 269-270-5358