Healthcare Provider Details

I. General information

NPI: 1861803991
Provider Name (Legal Business Name): CORRIGAN COUNSELING PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2014
Last Update Date: 05/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 E. GRAND RIVER AVE SUITE 2
BRIGHTON MI
48116
US

IV. Provider business mailing address

PO BOX 113
HAMBURG MI
48139-0113
US

V. Phone/Fax

Practice location:
  • Phone: 810-599-2888
  • Fax:
Mailing address:
  • Phone: 810-599-2888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number6801073136
License Number StateMI

VIII. Authorized Official

Name: MR. MICHAEL JOHN CORRIGAN
Title or Position: PSYCHOTHERAPIST
Credential: LMSW, ACSW
Phone: 810-599-2888