Provider Demographics
NPI:1134789837
Name:LAPEER CHRISTIAN COUNSELING, LLC
Entity type:Organization
Organization Name:LAPEER CHRISTIAN COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVELETTE
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:810-834-9654
Mailing Address - Street 1:778 S MAIN ST STE 121
Mailing Address - Street 2:
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-3032
Mailing Address - Country:US
Mailing Address - Phone:810-660-8275
Mailing Address - Fax:
Practice Address - Street 1:814 S MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-3073
Practice Address - Country:US
Practice Address - Phone:810-660-8275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-17
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty