Healthcare Provider Details

I. General information

NPI: 1134058803
Provider Name (Legal Business Name): SAGA COUNSELING P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 W LAKE LANSING RD STE 100
EAST LANSING MI
48823-8452
US

IV. Provider business mailing address

5754 RIDGEWAY DR APT 16
HASLETT MI
48840-8972
US

V. Phone/Fax

Practice location:
  • Phone: 517-599-6975
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: KYLE STINSON
Title or Position: THERAPIST
Credential: LMSW
Phone: 517-599-6975