Healthcare Provider Details

I. General information

NPI: 1003637117
Provider Name (Legal Business Name): AUBREY GARNER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2024
Last Update Date: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 ORLEANS BLVD STE A
COLDWATER MI
49036-1784
US

IV. Provider business mailing address

PO BOX 187
HILLSDALE MI
49242-0187
US

V. Phone/Fax

Practice location:
  • Phone: 517-797-7227
  • Fax:
Mailing address:
  • Phone: 517-523-3695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401018725
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: