Organization
HOXWORTH COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRET A HOXWORTH LLP (PRESIDENT)
(269) 205-2402
Entity
Organization
Contact information
Practice address
4695 N M 37 HWY STE A, MIDDLEVILLE, MI 49333-8276
(269) 205-2402
Mailing address
1509 S BROADWAY ST, HASTINGS, MI 49058-2559
(515) 852-4362
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
6301012161
MI
103TC1900X
Counseling Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588711675
NPI TYPE 1 NUMBER
—
Enumeration date
07/10/2018
Last updated
03/16/2022
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