Healthcare Provider Details

I. General information

NPI: 1528192853
Provider Name (Legal Business Name): CATHOLIC SOCIAL SERVICES OF LENAWEE COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 N BROAD ST
ADRIAN MI
49221
US

IV. Provider business mailing address

199 N BROAD ST
ADRIAN MI
49221
US

V. Phone/Fax

Practice location:
  • Phone: 517-263-2191
  • Fax: 517-264-6080
Mailing address:
  • Phone: 517-263-2191
  • Fax: 517-264-6080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number460068
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SUZANNE M LEWIS
Title or Position: BUSINESS MANAGER
Credential:
Phone: 517-263-2191