Healthcare Provider Details

I. General information

NPI: 1972684983
Provider Name (Legal Business Name): SPECIAL CARE COUNSELING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5656 BELTON
GARDEN CITY MI
48135
US

IV. Provider business mailing address

5656 BELTON
GARDEN CITY MI
48135
US

V. Phone/Fax

Practice location:
  • Phone: 734-525-3471
  • Fax:
Mailing address:
  • Phone: 734-525-3471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State

VIII. Authorized Official

Name: MR. RICK LORENZO LEE
Title or Position: DIRECTOR OF QUALITY ASSURANCE
Credential:
Phone: 734-525-3471