Provider Demographics
NPI:1922803097
Name:MAYER, KARIN E (ACC)
Entity type:Individual
Prefix:
First Name:KARIN
Middle Name:E
Last Name:MAYER
Suffix:
Gender:F
Credentials:ACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8694 LAKESHORE RD
Mailing Address - Street 2:
Mailing Address - City:BURTCHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48059-1113
Mailing Address - Country:US
Mailing Address - Phone:810-434-6390
Mailing Address - Fax:
Practice Address - Street 1:8694 LAKESHORE RD
Practice Address - Street 2:
Practice Address - City:BURTCHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48059-1113
Practice Address - Country:US
Practice Address - Phone:810-434-6390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty