Healthcare Provider Details

I. General information

NPI: 1447924303
Provider Name (Legal Business Name): MARIGOLD COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2021
Last Update Date: 08/04/2021
Certification Date: 08/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 TURNER ST STE A
LANSING MI
48906-4373
US

IV. Provider business mailing address

1310 TURNER ST STE A
LANSING MI
48906-4373
US

V. Phone/Fax

Practice location:
  • Phone: 989-640-1261
  • Fax: 517-323-9531
Mailing address:
  • Phone: 989-640-1261
  • Fax: 517-323-9531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CATHY GALLEGOS
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 517-483-2461