Healthcare Provider Details

I. General information

NPI: 1932086832
Provider Name (Legal Business Name): KOZMIC COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 ABBOTT RD STE SOUTH
EAST LANSING MI
48823-3170
US

IV. Provider business mailing address

921 ABBOTT RD STE SOUTH
EAST LANSING MI
48823-3170
US

V. Phone/Fax

Practice location:
  • Phone: 517-299-0663
  • Fax: 517-299-0669
Mailing address:
  • Phone: 517-299-0663
  • Fax: 517-299-0669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH KOZLOWSKI
Title or Position: OWNER
Credential: D.O.
Phone: 517-299-0663