LAKEVIEW FAMILY COUNSELING CENTER LLC NPI 1407289374

NPI Information

NPI: 1407289374
Provider Name: LAKEVIEW FAMILY COUNSELING CENTER LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
765 MANITOU ROAD
MANITOU BEACH, MI
ZIP 49253
Phone: (517) 403-4950
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LAKEVIEW FAMILY COUNSELING CENTER LLC is a mental health counselor in Manitou Beach, MI. LAKEVIEW FAMILY COUNSELING CENTER LLC NPI is 1407289374. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

765 MANITOU ROAD
MANITOU BEACH, MI
ZIP 49253
Phone: (517) 403-4950
Fax: (517) 252-5135

The provider's authorized official is Shirley Jo Wilson .
The authorized official title is Owner and has the following contact phone number (517) 403-4950.

The enumeration date for this NPI number is 8/15/2013 and was last updated on 8/15/2013.

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
1	101YM0800X	Counselor	Mental Health	6401011390	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6401011390	OTHER	MICHIGAN	STATE LICENSE

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

NPI Synchronization or Removal

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