Provider Demographics
NPI:1194115840
Name:RESOLUTION COUNSELING
Entity type:Organization
Organization Name:RESOLUTION COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:R
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:248-249-0989
Mailing Address - Street 1:5840 LORAC DR STE 5
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346-2915
Mailing Address - Country:US
Mailing Address - Phone:248-249-0989
Mailing Address - Fax:248-625-0945
Practice Address - Street 1:5840 LORAC DR STE 5
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-2915
Practice Address - Country:US
Practice Address - Phone:248-249-0989
Practice Address - Fax:248-625-0945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-03
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401012760251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health