Healthcare Provider Details

I. General information

NPI: 1295024982
Provider Name (Legal Business Name): MONICA CARRINGTON MRC, CRC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2011
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

533 MAIN ST
BELLEVILLE MI
48111-2649
US

IV. Provider business mailing address

46036 MICHIGAN AVE # 111
CANTON MI
48188-2304
US

V. Phone/Fax

Practice location:
  • Phone: 888-726-5632
  • Fax: 888-726-5632
Mailing address:
  • Phone: 888-726-5632
  • Fax: 888-726-5632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number79154
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401012332
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: