LAKEVIEW FAMILY COUNSELING CENTER LLC (NPI# 1407289374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407289374 |
| Entity Type | Organization |
| Organization Name | LAKEVIEW FAMILY COUNSELING CENTER LLC |
| Practice Address |
765 Manitou Road Manitou Beach MI 49253 |
| Practice Telephone | 5174034950 |
| Practice Fax Number | 5172525135 |
| Mailing Telephone | 5174034950 |
| Mailing Fax Number | 5172525135 |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |
| Authorized Official Name | MRS. SHIRLEY JO WILSON (OWNER) |
| Authorized Official Telephone | 5174034950 |
| Authorized Official Credential | MA,LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401011390 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE LICENSE | 6401011390 | 01 |
| Street Address |
765 MANITOU ROAD |
| City | MANITOU BEACH |
| State | MI |
| Zip Code | 49253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780828699 | Shirley Jo Wilson | Counselor | 765 Manitou Road, Lakeview Counseling Center, Manitou Beach, MI 49253 | 2009-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962932236 | Bailey Feekings | Specialist/Technologist | 210 Manitou Rd, Manitou Beach, MI 49253 | 2017-06-19 |
| 1588039952 | Christina Jones | Licensed Practical Nurse | 185 S Lakeview Blvd, Manitou Beach, MI 49253-9117 | 2015-12-09 |
| 1578012225 | Robert Clark | Technician, Other | 5075 Belmere Dr, Manitou Beach, MI 49253-9626 | 2016-09-22 |
| 1043832801 | Ksk Medical Pllc | General Practice | 6300 Winter Rd, Manitou Beach, MI 49253-9634 | 2020-05-14 |
| 1801284609 | Barbra Stubli | Licensed Practical Nurse | 3155 Townley Hwy, Manitou Beach, MI 49253-9724 | 2014-12-31 |
| 1992339311 | Kelly R Niezurawski | PACE Provider Organization | 6500 N Hawkins Hwy, Manitou Beach, MI 49253-9736 | 2020-02-25 |
| 1225428428 | Kristina Powell | Licensed Practical Nurse | 18733 Slee Rd, Manitou Beach, MI 49253-9741 | 2015-01-27 |
| 1518262393 | Aileen Marie Myers Maloney | Registered Nurse | 6509 Weber Dr, Manitou Beach, MI 49253-9749 | 2011-01-25 |
| 1710348404 | Tonya R Snyr | Registered Nurse | 8388 Round Lake Hwy, Manitou Beach, MI 49253-9779 | 2016-03-09 |
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
| 1619578549 | Joy Love Telehealth | Counselor | 444 Beach Farm Cir, Highland, MI 48356 | 2020-11-06 |
| 1407457799 | Next Level Counseling and Consulting, LLC | Counselor | 5231 Grayton St, Detroit, MI 48224-2149 | 2020-11-04 |
| 1760082309 | Lauren Alyssa Rainey | Counselor | 46522 Aarons Way, Canton, MI 48188-2323 | 2020-10-30 |
| 1033719679 | Jonelle Reynoso | Counselor | 140 Lyndenglen Dr Apt 208, Ann Arbor, MI 48103-6979 | 2020-10-30 |
| 1659971802 | Lauren Antoinette Long | Counselor | 732 E Grand Blanc Rd, Grand Blanc, MI 48439-1333 | 2020-10-27 |
| 1811596570 | Cynthia Fulkerth | Counselor | 124 W Gates St Ste 203, Bruce Twp, MI 48065-4493 | 2020-10-22 |
| 1730788530 | Ryan Michael De Nike | Counselor | 4710 W Saginaw Hwy Ste 8, Lansing, MI 48917-2654 | 2020-10-22 |
| 1467051201 | Jennifer Joelle Jacobs | Counselor | 3760 Whispering Way Se Apt 204, Grand Rapids, MI 49546-7601 | 2020-10-22 |
| 1669071585 | Carraus Harden | Counselor | 13238 N Norfolk, Detroit, MI 48235-1026 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | MANITOU BEACH |
| Zip Code | 49253 |
Please comment or provide details below to improve the information on LAKEVIEW FAMILY COUNSELING CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.