Provider Demographics
NPI:1255676763
Name:NAGY, MARC G (SUBSTANCE ABUSE COUN)
Entity Type:Individual
Prefix:MR
First Name:MARC
Middle Name:G
Last Name:NAGY
Suffix:
Gender:M
Credentials:SUBSTANCE ABUSE COUN
Other - Prefix:MR
Other - First Name:MARC
Other - Middle Name:G
Other - Last Name:NAGY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:11412 METTER AVE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48089-3839
Mailing Address - Country:US
Mailing Address - Phone:248-710-5506
Mailing Address - Fax:
Practice Address - Street 1:37450 SCHOOLCRAFT RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-1082
Practice Address - Country:US
Practice Address - Phone:734-744-0170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-10
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)