Provider Demographics
NPI:1780824847
Name:LAPEER SPIRIT & GUIDANCE COUNSELING CENTER
Entity Type:Organization
Organization Name:LAPEER SPIRIT & GUIDANCE COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERRYE
Authorized Official - Middle Name:L
Authorized Official - Last Name:CARR-AGUIRRE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:810-245-3388
Mailing Address - Street 1:1540 CLARK RD
Mailing Address - Street 2:
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-9454
Mailing Address - Country:US
Mailing Address - Phone:810-245-3388
Mailing Address - Fax:810-245-3388
Practice Address - Street 1:1540 CLARK RD
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-9454
Practice Address - Country:US
Practice Address - Phone:810-245-3388
Practice Address - Fax:810-245-3388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010190531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty