Healthcare Provider Details

I. General information

NPI: 1033090170
Provider Name (Legal Business Name): CATHOLIC CHARITIES OF INGHAM, EATON AND CLINTON COUNTIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 W WILLOW ST
LANSING MI
48917-1833
US

IV. Provider business mailing address

2800 W WILLOW ST
LANSING MI
48917-1833
US

V. Phone/Fax

Practice location:
  • Phone: 517-323-4734
  • Fax:
Mailing address:
  • Phone: 517-323-4734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: HALIE PLATTE
Title or Position: CHILDREN'S HOME DIRECTOR
Credential:
Phone: 517-282-7853