Intentional Counseling Services
Community/Behavioral Health in Ypsilanti, MI. Organization (NPI-2).
NPI number1427427814
StatusActive
Last updated in NPPESSep 2, 2025
Details
- NPI
- 1427427814
- Entity type
- Organization (NPI-2)
- Legal business name
- Intentional Counseling Services
- Organization subpart
- No
- Enumeration date
- Sep 16, 2015
- Certification date
- Oct 14, 2024
- Last updated
- Sep 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Other names
- Intentional Counseling Services (Doing Business As)
Practice location
2142a Washtenaw RdYpsilanti, MI 48197-1708
Phone 734-879-0162 · Fax 734-879-0167
Mailing address
2142a Washtenaw RdYpsilanti, MI 48197-1708
Phone 734-879-0162 · Fax 734-879-0167
Authorized official
Stacey M Mack
Licensed Master Social Worker
7348790162
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