Shepherds Staff Counseling Services, Pllc in Okemos - Psychologist

Shepherds Staff Counseling Services, Pllc - NPI 1720024672

Shepherds Staff Counseling Services, Pllc is a Psychologist in Okemos, Michigan. Shepherds Staff Counseling Services, Pllc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Shepherds Staff Counseling Services, Pllc is 1720024672. The last update date is 2013-09-25.

Shepherds Staff Counseling Services, Pllc's current location address is 3887 Okemos Rd, Okemos, Michigan. You can contact this provider via phone number 5173336700 and fax number 5173473702. The mailing address for Shepherds Staff Counseling Services, Pllc is 3887 Okemos Rd, Okemos, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shepherds Staff Counseling Services, Pllc
Address 3887 Okemos Rd, Okemos, Michigan
Phone Number 5173336700
Fax Number 5173473702
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PSYCHOLOGI
Authorized Official Name Lucas Sue Carolyn
Credentials PH.D.
Telephone Number 5173336700

NPI Number Detail

NPI Number 1720024672
Provider Enumeration Date 2006-06-21
Last Updated Date 2013-09-25

Provider Mailing Address Detail

Address 3887 Okemos Rd
City Okemos
State Michigan (MI)
Post Code 488643664
Phone Number 5173336700
Fax Number 5173473702

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 6301008781
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
44627 MI BEHAVIORAL HEALTH ADMINIS
0C33276 MI BLUE CROSS BLUE SHIELD PR

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FAQs about Shepherds Staff Counseling Services, Pllc

What is the unique 10-digit identifier code assigned to Shepherds Staff Counseling Services, Pllc by the Centers for Medicare & Medicaid Services?

The Shepherds Staff Counseling Services, Pllc has been issued the NPI (National Provider Identifier) 1720024672 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Shepherds Staff Counseling Services, Pllc's facilities are geographically located?

The facilities of Shepherds Staff Counseling Services, Pllc are physically situated at the following location: 3887 Okemos Rd, Okemos, MI, 488643664.

What is the Shepherds Staff Counseling Services, Pllc's specialty and taxonomy code?

The Shepherds Staff Counseling Services, Pllc's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.

When was the Shepherds Staff Counseling Services, Pllc's 1720024672 issued?

The Shepherds Staff Counseling Services, Pllc's 1720024672 was issued on 2006-06-21.

As of what date was the information regarding Shepherds Staff Counseling Services, Pllc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Shepherds Staff Counseling Services, Pllc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-09-25.

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