Healthcare Provider Details

I. General information

NPI: 1689166316
Provider Name (Legal Business Name): AIMEE KAUFFMAN COUNSELING AND CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2018
Last Update Date: 05/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4572 S HAGADORN RD STE 3G
EAST LANSING MI
48823-5385
US

IV. Provider business mailing address

4572 S HAGADORN RD STE 3G
EAST LANSING MI
48823-5385
US

V. Phone/Fax

Practice location:
  • Phone: 517-803-5427
  • Fax: 517-580-8355
Mailing address:
  • Phone: 517-803-5427
  • Fax: 517-580-8355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6401010023
License Number StateMI

VIII. Authorized Official

Name: MS. AIMEE KAUFFMAN
Title or Position: OWNER
Credential: LPC
Phone: 517-803-5427