Elliott & Associates Counseling Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

B3879Q Issued in MI

Legal business name

ELLIOTT & ASSOCIATES COUNSELING SERVICES, LLC

Practice address

13095 Great Oaks LN
Burt, MI 48417-2500

Phone

(989) 737-2611

NPI assigned

Oct 15, 2015

Last updated

Oct 15, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Linda Denise Moten-Elliott, MS,LMSW,CAADC,CCS-M

Title

Ceo/Founder

Phone

(989) 737-2611

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1073984043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13095 GREAT OAKS LN",
            "city": "BURT",
            "state": "MI",
            "postal_code": "484172500",
            "telephone_number": "989-737-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13095 GREAT OAKS LN",
            "city": "BURT",
            "state": "MI",
            "postal_code": "484172500",
            "telephone_number": "989-737-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT & ASSOCIATES COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "MOTEN-ELLIOTT",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "989-737-2611",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS,LMSW,CAADC,CCS-M"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "MI",
            "license": "B3879Q",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "B3879Q",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bsma Hallam
• Mary Joe Ray Kinney, LMT, NHE
• Sarah B Moore, RN
• Aubrey F Odell
• James Dean Vanbrocklin, M.D.

• Community/Behavioral Health Agency in Burt, MI
• Providers in Burt, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.