Healthcare Provider Details

I. General information

NPI: 1811464787
Provider Name (Legal Business Name): AMY VERHOEVEN MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2018
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6211 TAYLOR DR
FLINT MI
48507-4665
US

IV. Provider business mailing address

525 OKEMOS ST
MASON MI
48854-1224
US

V. Phone/Fax

Practice location:
  • Phone: 810-237-0799
  • Fax: 517-676-5460
Mailing address:
  • Phone: 517-833-8100
  • Fax: 517-676-5460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6401222411
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401222411
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: