Provider Demographics
NPI:1568114338
Name:PAUL CORTE, LMSW
Entity Type:Organization
Organization Name:PAUL CORTE, LMSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:CORTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-486-7976
Mailing Address - Street 1:10603 GAMEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH LYON
Mailing Address - State:MI
Mailing Address - Zip Code:48178-9801
Mailing Address - Country:US
Mailing Address - Phone:248-486-7976
Mailing Address - Fax:
Practice Address - Street 1:10603 GAMEWOOD DR
Practice Address - Street 2:
Practice Address - City:SOUTH LYON
Practice Address - State:MI
Practice Address - Zip Code:48178-9801
Practice Address - Country:US
Practice Address - Phone:248-486-7976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty