Healthcare Provider Details

I. General information

NPI: 1942428511
Provider Name (Legal Business Name): COUNSELINGOFLENAWEE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 S MAIN ST
ADRIAN MI
49221-3215
US

IV. Provider business mailing address

604 S MAIN ST
ADRIAN MI
49221-3215
US

V. Phone/Fax

Practice location:
  • Phone: 517-759-6979
  • Fax: 855-802-3095
Mailing address:
  • Phone: 517-759-6979
  • Fax: 855-802-3095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number6401006470
License Number StateMI

VIII. Authorized Official

Name: MISS DONNA J BISHOP
Title or Position: PRESIDENT
Credential: MA, LPC
Phone: 517-759-6979