Organization
INTENTIONAL COUNSELING SERVICES
Active
Other names
Intentional Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACEY M MACK LMSW (LICENSED MASTER SOCIAL WORKER)
(734) 879-0162
Entity
Organization
Contact information
Practice address
2142A WASHTENAW RD, YPSILANTI, MI 48197-1708
(734) 879-0162
(734) 879-0167
Mailing address
2142A WASHTENAW RD, YPSILANTI, MI 48197-1708
(734) 879-0162
(734) 879-0167
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
09/02/2025
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