Healthcare Provider Details

I. General information

NPI: 1316124019
Provider Name (Legal Business Name): DISCOVERY COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2008
Last Update Date: 01/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

296 S MAIN ST
BRITTON MI
49229-9797
US

IV. Provider business mailing address

260 S MAIN ST
BRITTON MI
49229-9797
US

V. Phone/Fax

Practice location:
  • Phone: 517-488-2545
  • Fax: 517-451-5415
Mailing address:
  • Phone: 517-488-2545
  • Fax: 517-451-5415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6301013432
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number6301013432
License Number StateMI

VIII. Authorized Official

Name: MR. ROBERT LYNN WRIGHT
Title or Position: DIRECTOR
Credential: MACP LLP
Phone: 517-488-2545