| Lakeshore Professional Counseling Inc | |
|
447 First Street Menominee MI 49858-3307 | |
| (906) 864-2590 | |
| (906) 864-3058 |
| Full Name | Lakeshore Professional Counseling Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 447 First Street, Menominee, Michigan |
| Authorized Official Name and Position | Jeanne M Harper (CLINIC DIRECTOR) |
| Authorized Official Contact | 9068642590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Professional Counseling Inc 447 First Street Menominee MI 49858-3307 Ph: (906) 864-2590 | Lakeshore Professional Counseling Inc 447 First Street Menominee MI 49858-3307 Ph: (906) 864-2590 |
| NPI Number | 1831272574 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831272574 | NPI | - | NPPES |
| 1500 | Other | WI | OUTPATIENT MENTAL HEALTH |
| 42204000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1500 (Wisconsin) | Primary |
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