Basic Information
| Provider Information | |||||||||
| NPI: | 1831297829 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ANN ARBOR CONSULTATION SERVICES, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5331 PLYMOUTH RD | ||||||||
| Address2: | |||||||||
| City: | ANN ARBOR | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481059520 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7349969111 | ||||||||
| FaxNumber: | 7349961950 | ||||||||
| Practice Location | |||||||||
| Address1: | 5331 PLYMOUTH RD | ||||||||
| Address2: | |||||||||
| City: | ANN ARBOR | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481059520 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7349969111 | ||||||||
| FaxNumber: | 7349961950 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/21/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | SENK | ||||||||
| AuthorizedOfficialFirstName: | LAURA | ||||||||
| AuthorizedOfficialMiddleName: | ANN | ||||||||
| AuthorizedOfficialTitleorPosition: | BILLING DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 7349969111 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 6301011289 | MI | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.