Healthcare Provider Details

I. General information

NPI: 1164086419
Provider Name (Legal Business Name): MCKINNEY COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2019
Last Update Date: 04/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S UNIVERSITY AVE
MOUNT PLEASANT MI
48858-2525
US

IV. Provider business mailing address

300 S UNIVERSITY AVE
MOUNT PLEASANT MI
48858-2525
US

V. Phone/Fax

Practice location:
  • Phone: 989-860-6136
  • Fax: 866-211-6219
Mailing address:
  • Phone: 989-860-6136
  • Fax: 866-211-6219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBIN EARL MCKINNEY
Title or Position: CLINICAL MANAGER
Credential: PHD
Phone: 989-860-6136