Provider Demographics
NPI:1962995829
Name:TRI-COUNTY COUSNELING SERVICE LLC
Entity type:Organization
Organization Name:TRI-COUNTY COUSNELING SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:AARON SCOTT
Authorized Official - Last Name:HETHORN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LLPC
Authorized Official - Phone:734-623-9082
Mailing Address - Street 1:3122 AVALON ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-1805
Mailing Address - Country:US
Mailing Address - Phone:517-256-4178
Mailing Address - Fax:
Practice Address - Street 1:105 W HILLSDALE ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48933
Practice Address - Country:US
Practice Address - Phone:734-623-9082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-14
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health