Provider Demographics
NPI:1992551592
Name:DMG COUNSELING SERVICES PLLC
Entity type:Organization
Organization Name:DMG COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:DAWNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:GROVE
Authorized Official - Suffix:
Authorized Official - Credentials:MC, LMHC
Authorized Official - Phone:360-220-3855
Mailing Address - Street 1:709 FRONT ST STE 1
Mailing Address - Street 2:
Mailing Address - City:LYNDEN
Mailing Address - State:WA
Mailing Address - Zip Code:98264-1819
Mailing Address - Country:US
Mailing Address - Phone:360-220-3855
Mailing Address - Fax:360-318-0113
Practice Address - Street 1:709 FRONT ST STE 1
Practice Address - Street 2:
Practice Address - City:LYNDEN
Practice Address - State:WA
Practice Address - Zip Code:98264-1819
Practice Address - Country:US
Practice Address - Phone:360-220-3855
Practice Address - Fax:360-318-0113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty