LAKESIDE PROFESSIONAL COUNSELING P.C. NPI 1073084083

NPI Information

NPI: 1073084083
Provider Name: LAKESIDE PROFESSIONAL COUNSELING, P.C.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
8072 21 MILE RD
SHELBY TOWNSHIP, MI
ZIP 48317
Phone: (586) 932-2700
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LAKESIDE PROFESSIONAL COUNSELING, P.C. is a mental health counselor in Shelby Township, MI. LAKESIDE PROFESSIONAL COUNSELING, P.C. NPI is 1073084083. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8072 21 MILE RD
SHELBY TOWNSHIP, MI
ZIP 48317-310
Phone: (586) 932-2700
Fax: (586) 932-2705

The provider's authorized official is Jessica J Lentz .
The authorized official title is President and has the following contact phone number (586) 932-2700.

The enumeration date for this NPI number is 12/17/2018 and was last updated on 10/21/2023.

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			Yes

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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