Provider Demographics
NPI:1205434669
Name:GREAT-LAKES RESTORATIVE COUNSELING LLC
Entity type:Organization
Organization Name:GREAT-LAKES RESTORATIVE COUNSELING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER. THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:YALONDA
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-935-2591
Mailing Address - Street 1:11800 MERRIMAN RD UNIT 510896
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48151-2075
Mailing Address - Country:US
Mailing Address - Phone:248-587-6667
Mailing Address - Fax:
Practice Address - Street 1:11800 MERRIMAN RD UNIT 510896
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48151-2075
Practice Address - Country:US
Practice Address - Phone:248-587-6667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty