Provider Demographics
NPI:1689229528
Name:JUBILEE XINIAN COUNSELING AND CONSULTING SERVICES, LLC
Entity type:Organization
Organization Name:JUBILEE XINIAN COUNSELING AND CONSULTING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:XINYI
Authorized Official - Middle Name:
Authorized Official - Last Name:FANG
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:517-245-0725
Mailing Address - Street 1:942 CRESENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-4118
Mailing Address - Country:US
Mailing Address - Phone:517-245-0725
Mailing Address - Fax:
Practice Address - Street 1:2517 E MOUNT HOPE AVE STE 2
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-1931
Practice Address - Country:US
Practice Address - Phone:517-245-0725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-07
Last Update Date:2019-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty