| Origins Counseling, Pllc | |
|
3500 N Lake Shore Dr Black River MI 48721 | |
| (248) 894-3226 | |
| Not Available |
| Full Name | Origins Counseling, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3500 N Lake Shore Dr, Black River, Michigan |
| Authorized Official Name and Position | Michele Lee Talerico (OWNER) |
| Authorized Official Contact | 9893355590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Origins Counseling, Pllc 350 N 2nd Ave Unit 41 Alpena MI 49707-6201 Ph: (248) 894-3226 | Origins Counseling, Pllc 3500 N Lake Shore Dr Black River MI 48721 Ph: (248) 894-3226 |
| NPI Number | 1720611528 |
|---|---|
| Provider Enumeration Date | 02/20/2020 |
| Last Update Date | 08/29/2022 |
| Certification Date | 03/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720611528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |