Provider Demographics
NPI:1528137528
Name:KAREN ANN COLE HOPE CENTER FOR CREATIVE SOLUTIONS LLC
Entity type:Organization
Organization Name:KAREN ANN COLE HOPE CENTER FOR CREATIVE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:313-613-2033
Mailing Address - Street 1:31455 NORTHWESTERN HWY STE B
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2574
Mailing Address - Country:US
Mailing Address - Phone:313-613-2033
Mailing Address - Fax:313-532-6638
Practice Address - Street 1:31455 NORTHWESTERN HWY STE B
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2574
Practice Address - Country:US
Practice Address - Phone:313-613-2033
Practice Address - Fax:313-532-6638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010774021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty