Provider Demographics
NPI:1659345585
Name:GEC CONSULTANTS, LTD
Entity Type:Organization
Organization Name:GEC CONSULTANTS, LTD
Other - Org Name:GEC PSYCHOLOGICAL CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGIA
Authorized Official - Middle Name:EDMONDSON
Authorized Official - Last Name:CONIC
Authorized Official - Suffix:
Authorized Official - Credentials:PH D LLP
Authorized Official - Phone:989-752-6628
Mailing Address - Street 1:100 S JEFFERSON AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48607-1267
Mailing Address - Country:US
Mailing Address - Phone:989-752-6628
Mailing Address - Fax:989-752-0895
Practice Address - Street 1:100 S JEFFERSON AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48607-1267
Practice Address - Country:US
Practice Address - Phone:989-752-6628
Practice Address - Fax:989-752-0895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-15
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301007381103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP108970220OtherMBCBS
MI0P02020Medicare ID - Type UnspecifiedGROUP