NPI 1194049643 · live from the CMS NPI Registry
Afterglow Counseling, Mediation, And Family Services Centers
Marriage & Family Therapist in Berrien Springs, MI. National Provider Identifier 1194049643, active.
NPI record
| NPI | 1194049643 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 115 N Main St, #24, Berrien Springs, MI 49103 |
| Practice phone | 909-503-7191 |
| Mailing address | Po Box 24, Berrien Springs, MI 49103 |
| Enumerated | March 25, 2010 |
| Last updated | August 7, 2015 |
| Authorized official | Brenda-Joyce Markert-Green, President/Ceo/Founder/Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 48104 (CA) |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 48104 (CA) |
| Counselor, Mental Health | 101YM0800X | 48104 (CA) |
| Counselor, Pastoral | 101YP1600X | 48104 (CA) |
| Counselor, Professional | 101YP2500X | 48104 (CA) |
| Clinical Neuropsychologist | 103G00000X | 48104 (CA) |
| Behavior Analyst | 103K00000X | 48104 (CA) |
| Social Worker | 104100000X | 25894 (CA) |
| Social Worker, Clinical | 1041C0700X | 25894 (CA) |
| Marriage & Family Therapist primary | 106H00000X | 48104 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.