Provider Demographics
NPI:1003878588
Name:CHRISTIAN FAMILY SERVICES OF LAPEER COUNTY
Entity Type:Organization
Organization Name:CHRISTIAN FAMILY SERVICES OF LAPEER COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:THRELOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-416-2300
Mailing Address - Street 1:441 CLAY ST
Mailing Address - Street 2:
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-2208
Mailing Address - Country:US
Mailing Address - Phone:810-664-4557
Mailing Address - Fax:810-664-5181
Practice Address - Street 1:441 CLAY ST
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-2208
Practice Address - Country:US
Practice Address - Phone:810-664-4557
Practice Address - Fax:810-664-5181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1006670OtherMCLAREN HEALTH
MI0D44625Medicare ID - Type Unspecified