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AFTERGLOW COUNSELING MEDIATION AND FAMILY SERVICES CENTERS NPI 1194049643


NPI Information

NPI: 1194049643
Provider Name: AFTERGLOW COUNSELING, MEDIATION, AND FAMILY SERVICES CENTERS
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
115 N MAIN ST
#24
BERRIEN SPRINGS, MI
ZIP 49103
Phone: (909) 503-7191
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AFTERGLOW COUNSELING, MEDIATION, AND FAMILY SERVICES CENTERS is a marriage family therapist in Berrien Springs, MI. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. AFTERGLOW COUNSELING, MEDIATION, AND FAMILY SERVICES CENTERS NPI is 1194049643. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

115 N MAIN ST
#24
BERRIEN SPRINGS, MI
ZIP 49103-372
Phone: (909) 503-7191

The provider's authorized official is Brenda-joyce G. Markert-green .
The authorized official title is President/ceo/founder/director and has the following contact phone number (909) 503-7191.

The enumeration date for this NPI number is 3/25/2010 and was last updated on 8/7/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor48104CALIFORNIANo
2101YA0400XCounselorAddiction (Substance Use Disorder)48104CALIFORNIANo
3101YM0800XCounselorMental Health48104CALIFORNIANo
4101YP1600XCounselorPastoral48104CALIFORNIANo
5101YP2500XCounselorProfessional48104CALIFORNIANo
6103G00000XClinical Neuropsychologist48104CALIFORNIANo
7103K00000XBehavior Analyst48104CALIFORNIANo
8104100000XSocial Worker25894CALIFORNIANo
91041C0700XSocial WorkerClinical25894CALIFORNIANo
10106H00000XMarriage & Family Therapist48104CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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