Provider Demographics
NPI:1467762898
Name:BERG, FRANCES T (MA, LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:T
Last Name:BERG
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 WATERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48362-1544
Mailing Address - Country:US
Mailing Address - Phone:248-459-5509
Mailing Address - Fax:
Practice Address - Street 1:1455 S LAPEER RD STE 175
Practice Address - Street 2:
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48360-1467
Practice Address - Country:US
Practice Address - Phone:248-393-5555
Practice Address - Fax:248-393-1791
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401008176101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health