Healthcare Provider Details

I. General information

NPI: 1376462689
Provider Name (Legal Business Name): MARGUEX LAYNE BEAGHAN LLPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1795 CEDAR STREET STE L
HOLT MI
48842
US

IV. Provider business mailing address

6105 WEST SAINT JOSEPH HIGHWAY SUITE 205
LANSING MI
48917
US

V. Phone/Fax

Practice location:
  • Phone: 517-615-3527
  • Fax:
Mailing address:
  • Phone: 517-615-3527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6451023427
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: