Healthcare Provider Details

I. General information

NPI: 1487741286
Provider Name (Legal Business Name): COUNTY OF LAPEER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 07/03/2024
Certification Date: 07/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 IMLAY CITY RD
LAPEER MI
48446
US

IV. Provider business mailing address

1800 IMLAY CITY RD
LAPEER MI
48446
US

V. Phone/Fax

Practice location:
  • Phone: 810-667-0243
  • Fax: 810-245-5676
Mailing address:
  • Phone: 810-667-0243
  • Fax: 810-245-5676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number440003
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: INGRID FINK
Title or Position: ASSISTANCE FINANCE OFFICER
Credential:
Phone: 810-245-5787