Healthcare Provider Details

I. General information

NPI: 1427909266
Provider Name (Legal Business Name): LAKEVIEW FAMILY COUNSELING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2240 E HILL RD STE F
GRAND BLANC MI
48439-5425
US

IV. Provider business mailing address

938 PINE TREE RD W
LAKE ORION MI
48362-2562
US

V. Phone/Fax

Practice location:
  • Phone: 248-904-7093
  • Fax: 248-693-9786
Mailing address:
  • Phone: 248-904-7093
  • Fax: 248-693-9786

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: BRENDA BRYANT
Title or Position: OWNER
Credential:
Phone: 248-904-7093