Healthcare Provider Details

I. General information

NPI: 1982751665
Provider Name (Legal Business Name): STEVEN MICHAEL POWERS LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 04/10/2024
Certification Date: 04/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 GREEN RD STE 160
ANN ARBOR MI
48105-1572
US

IV. Provider business mailing address

135 GREENLY ST
ADRIAN MI
49221-2013
US

V. Phone/Fax

Practice location:
  • Phone: 517-882-3732
  • Fax: 517-882-3633
Mailing address:
  • Phone: 734-474-3073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401007388
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: