Healthcare Provider Details

I. General information

NPI: 1235722158
Provider Name (Legal Business Name): ANN MARIE SPRINGSTEEN LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2021
Last Update Date: 02/12/2021
Certification Date: 02/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52731 GOODENOUGH RD
MARCELLUS MI
49067-9725
US

IV. Provider business mailing address

52731 GOODENOUGH RD
MARCELLUS MI
49067-9725
US

V. Phone/Fax

Practice location:
  • Phone: 269-506-8819
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6401010624
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: