Healthcare Provider Details

I. General information

NPI: 1477892297
Provider Name (Legal Business Name): JOSHUA GIORIO LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2013
Last Update Date: 01/18/2022
Certification Date: 01/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3496 E LAKE LANSING RD STE 100
EAST LANSING MI
48823-6222
US

IV. Provider business mailing address

3920 BERRY RIDGE DR
HOLT MI
48842-9715
US

V. Phone/Fax

Practice location:
  • Phone: 313-241-0664
  • Fax:
Mailing address:
  • Phone: 734-231-0671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401012258
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: