Healthcare Provider Details

I. General information

NPI: 1013726033
Provider Name (Legal Business Name): 517COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2025
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 W HOLMES RD STE 4
LANSING MI
48910-0376
US

IV. Provider business mailing address

2025 W HOLMES RD STE 4
LANSING MI
48910-0376
US

V. Phone/Fax

Practice location:
  • Phone: 517-763-3305
  • Fax:
Mailing address:
  • Phone: 517-763-3305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE BATES
Title or Position: OWNER
Credential:
Phone: 517-763-3305