Provider Demographics
NPI:1588555247
Name:COUNSELING WITH COFFEE
Entity type:Organization
Organization Name:COUNSELING WITH COFFEE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:HENRIQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:201-966-8739
Mailing Address - Street 1:1948 WHITE OAK LN
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-9546
Mailing Address - Country:US
Mailing Address - Phone:201-966-8739
Mailing Address - Fax:
Practice Address - Street 1:745 S WALNUT ST
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-2579
Practice Address - Country:US
Practice Address - Phone:201-730-2462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)