Provider Demographics
NPI:1336377225
Name:CYPHERS, MARCI RENE-NELSON (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARCI
Middle Name:RENE-NELSON
Last Name:CYPHERS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3960 PATIENT CARE WAY STE 104
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-4276
Mailing Address - Country:US
Mailing Address - Phone:517-887-9801
Mailing Address - Fax:517-887-9826
Practice Address - Street 1:4295 OKEMOS RD STE 135
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-6201
Practice Address - Country:US
Practice Address - Phone:517-306-4635
Practice Address - Fax:517-244-8707
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401011180101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional