Healthcare Provider Details

I. General information

NPI: 1639797228
Provider Name (Legal Business Name): PRECISION COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2020
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

463 E CIRCLE DR
EAST LANSING MI
48824-7500
US

IV. Provider business mailing address

702 S CANAL RD
LANSING MI
48917-9644
US

V. Phone/Fax

Practice location:
  • Phone: 517-614-0618
  • Fax:
Mailing address:
  • Phone: 312-802-6001
  • 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: KRISTOPHER AMOS-LOPEZ
Title or Position: OWNER
Credential: LPC
Phone: 312-802-6001