Provider Demographics
NPI:1295960839
Name:COLLEEN M. OSIER, MS, LMFT,LLP, PLLC
Entity type:Organization
Organization Name:COLLEEN M. OSIER, MS, LMFT,LLP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:OSIER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT, LLP
Authorized Official - Phone:906-221-0558
Mailing Address - Street 1:PO BOX 42
Mailing Address - Street 2:
Mailing Address - City:NIAGARA
Mailing Address - State:WI
Mailing Address - Zip Code:54151-0042
Mailing Address - Country:US
Mailing Address - Phone:906-221-0558
Mailing Address - Fax:
Practice Address - Street 1:427 S STEPHENSON AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:IRON MOUNTAIN
Practice Address - State:MI
Practice Address - Zip Code:49801-3458
Practice Address - Country:US
Practice Address - Phone:906-221-0558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301007501103TC1900X
WI536-124106H00000X
MI4101006418106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1700025764OtherINDIVIDUAL NPI