Afterglow Counseling, Mediation, and Family Services Centers
Organization Active NPI Marriage & Family Therapist · Berrien Springs, MI
NPI 1194049643 · NPPES record last updated Aug 7, 2015
Key facts
- NPI
- 1194049643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 48104 (CA)
- Legal business name
- AFTERGLOW COUNSELING, MEDIATION, AND FAMILY SERVICES CENTERS
- Practice address
- 115 N Main St
#24
Berrien Springs, MI 49103-1372 - Phone
- (909) 503-7191
- NPI assigned
- Mar 25, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Brenda-Joyce G. Markert-Green, DMFT, LMFT
- Title
- President/Ceo/Founder/Director
- Phone
- (909) 503-7191
Practitioners 1
National Provider Directory
Locations
115 N Main St
Unit 24
Berrien Springs, MI 49103
Phone (909) 503-7191
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | 48104 | CA | |
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | 48104 | CA | |
| Mental Health Counselor |
101YM0800X | 48104 | CA | |
| Pastoral Counselor |
101YP1600X | 48104 | CA | |
| Professional Counselor |
101YP2500X | 48104 | CA | |
| Clinical Neuropsychologist |
103G00000X | 48104 | CA | |
| Behavior Analyst |
103K00000X | 48104 | CA | |
| Social Worker |
104100000X | 25894 | CA | |
| Clinical Social Worker |
1041C0700X | 25894 | CA | |
| Marriage & Family Therapist |
106H00000X | 48104 | CA | Yes |
Addresses
Primary practice location
115 N Main St
#24
Berrien Springs, MI 49103-1372
Mailing address
PO Box 24
Berrien Springs, MI 49103-0024
Phone (909) 503-7191
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.