Healthcare Provider Details

I. General information

NPI: 1700546025
Provider Name (Legal Business Name): WADE'S HOPE COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2021
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 N MAGNOLIA AVE
LANSING MI
48912-3131
US

IV. Provider business mailing address

723 N MAGNOLIA AVE
LANSING MI
48912-3131
US

V. Phone/Fax

Practice location:
  • Phone: 720-534-5941
  • Fax:
Mailing address:
  • Phone: 720-534-5941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: LORI LEE MCMAHON
Title or Position: CEO
Credential: LMFT AND LAC
Phone: 720-534-5941