Healthcare Provider Details

I. General information

NPI: 1245296003
Provider Name (Legal Business Name): DAVID L FROBISH LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 12/08/2022
Certification Date: 12/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7605 SUGAR MAPLE CIR
LANSING MI
48917-8823
US

IV. Provider business mailing address

812 E JOLLY RD STE 210
LANSING MI
48910-6818
US

V. Phone/Fax

Practice location:
  • Phone: 517-420-1850
  • Fax:
Mailing address:
  • Phone: 517-346-8410
  • Fax: 517-346-8291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401007697
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6401007697
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: