Provider Demographics
NPI:1588406748
Name:MILIFE COUNSELING SOLUTIONS PLLC
Entity type:Organization
Organization Name:MILIFE COUNSELING SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMSW, OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-635-2733
Mailing Address - Street 1:2323 LAKESHORE BLVD APT 618
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-6913
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2323 LAKESHORE BLVD APT 618
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48198-6913
Practice Address - Country:US
Practice Address - Phone:734-635-2733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty