Fellowship Counseling and Life Coaching, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801016840 Issued in MI

Legal business name

FELLOWSHIP COUNSELING AND LIFE COACHING, LLC

Practice address

1100 Ludington
Suite 306
Escanaba, MI 49829-1297

Phone

(906) 786-4733

Fax

(906) 786-4733

NPI assigned

May 2, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Denise Marie Hirn, LMSW

Title

Social Worker

Phone

(906) 786-4733

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1225448095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LUDINGTON",
            "address_2": "SUITE 306",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291297",
            "telephone_number": "906-786-4733",
            "fax_number": "906-786-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LUDINGTON",
            "address_2": "SUITE 306",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291297",
            "telephone_number": "906-786-4733",
            "fax_number": "906-786-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLOWSHIP COUNSELING AND LIFE COACHING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "HIRN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "906-786-4733",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801016840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Escanaba, MI
• Providers in Escanaba, 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 Aug 19, 2014; 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.