Provider Demographics
NPI:1427388958
Name:LIVINGSTON FAMILY CENTER
Entity Type:Organization
Organization Name:LIVINGSTON FAMILY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:LOESCHE
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:810-231-9591
Mailing Address - Street 1:4736 E M36
Mailing Address - Street 2:
Mailing Address - City:PINCKNEY
Mailing Address - State:MI
Mailing Address - Zip Code:48169-9383
Mailing Address - Country:US
Mailing Address - Phone:810-231-9591
Mailing Address - Fax:810-231-9522
Practice Address - Street 1:4736 E M36
Practice Address - Street 2:
Practice Address - City:PINCKNEY
Practice Address - State:MI
Practice Address - Zip Code:48169-9383
Practice Address - Country:US
Practice Address - Phone:810-231-9591
Practice Address - Fax:810-231-9522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301011048101YM0800X
MI6301013329101YM0800X
MI6401002776101YM0800X
MI6801034876104100000X
MI6801035150104100000X
MI6801081106104100000X
MI6801078115104100000X
MI6801068018104100000X
MI6801090913104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty