| Lakeview Family Counseling Center Llc | |
|
765 Manitou Road Manitou Beach MI 49253 | |
| (517) 403-4950 | |
| (517) 252-5135 |
| Full Name | Lakeview Family Counseling Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 765 Manitou Road, Manitou Beach, Michigan |
| Authorized Official Name and Position | Shirley Jo Wilson (OWNER) |
| Authorized Official Contact | 5174034950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Family Counseling Center Llc 765 Manitou Road Manitou Beach MI 49253 Ph: (517) 403-4950 | Lakeview Family Counseling Center Llc 765 Manitou Road Manitou Beach MI 49253 Ph: (517) 403-4950 |
| NPI Number | 1407289374 |
|---|---|
| Provider Enumeration Date | 08/15/2013 |
| Last Update Date | 08/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407289374 | NPI | - | NPPES |
| 6401011390 | Other | MI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6401011390 (Michigan) | Primary |
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