Healthcare Provider Details

I. General information

NPI: 1740134394
Provider Name (Legal Business Name): MATTHEW CHRISTOPHER BEVIER LLPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 02/23/2026
Certification Date: 02/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5830 HAAG RD
LANSING MI
48911-4743
US

IV. Provider business mailing address

5830 HAAG RD
LANSING MI
48911-4743
US

V. Phone/Fax

Practice location:
  • Phone: 517-391-6065
  • Fax:
Mailing address:
  • Phone: 517-391-6065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number645102885
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: