Provider Demographics
NPI:1245006857
Name:LUNAR COUNSELING PLLC
Entity type:Organization
Organization Name:LUNAR COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNDER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNETTA
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:517-614-7840
Mailing Address - Street 1:3884 WINDY HTS
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-3588
Mailing Address - Country:US
Mailing Address - Phone:517-614-7840
Mailing Address - Fax:
Practice Address - Street 1:115 W ALLEGAN ST FL 7
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48933-1717
Practice Address - Country:US
Practice Address - Phone:517-614-7840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty