Provider Demographics
NPI:1316009012
Name:LAKEVIEW COUNSELING P.C.
Entity Type:Organization
Organization Name:LAKEVIEW COUNSELING P.C.
Other - Org Name:LAKEVIEW COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:231-929-0300
Mailing Address - Street 1:1844 OAK HOLLOW DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49686-5924
Mailing Address - Country:US
Mailing Address - Phone:231-929-0300
Mailing Address - Fax:231-933-6378
Practice Address - Street 1:1844 OAK HOLLOW DR
Practice Address - Street 2:SUITE B
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49686-5924
Practice Address - Country:US
Practice Address - Phone:231-929-0300
Practice Address - Fax:231-933-6378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-16
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health