Healthcare Provider Details

I. General information

NPI: 1619805975
Provider Name (Legal Business Name): JALEN MARCEL TOINS LLPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 KERRY ST STE 202
LANSING MI
48912-3670
US

IV. Provider business mailing address

2222 W GRAND RIVER AVE STE A
OKEMOS MI
48864-1604
US

V. Phone/Fax

Practice location:
  • Phone: 517-574-4197
  • Fax:
Mailing address:
  • Phone: 810-252-2393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451023987
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: