CAROL BOETTCHER MS NPI 1508492638

NPI Information

  • NPI: 1508492638
  • Provider Name: CAROL BOETTCHER, MS
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 303 N LAFAYETTE ST
    SOUTH LYON, MI
    ZIP 48178
  • Phone: (208) 691-7266

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NPI Details

Carol Boettcher, MS is a mental health counselor in South Lyon, MI. Carol Boettcher, MS NPI is 1508492638. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

303 N LAFAYETTE ST
SOUTH LYON, MI
ZIP 48178-034
Phone: (208) 691-7266

The enumeration date for this NPI number is 3/20/2020 and was last updated on 3/20/2020.

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
1101YM0800XCounselorMental Health6401018066MICHIGANYes

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: 11/21/2025

NPI Synchronization or Removal

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