Provider Demographics
NPI:1023833860
Name:COFFEE HOUR COUNSELING LLC
Entity type:Organization
Organization Name:COFFEE HOUR COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:DINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VELD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:313-329-3829
Mailing Address - Street 1:26185 WICK RD
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-3082
Mailing Address - Country:US
Mailing Address - Phone:313-615-0005
Mailing Address - Fax:
Practice Address - Street 1:26185 WICK RD
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-3082
Practice Address - Country:US
Practice Address - Phone:313-615-0005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty