Healthcare Provider Details

I. General information

NPI: 1780359786
Provider Name (Legal Business Name): SKYLER NUNEZ LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: SKYLER BLANKENSHIP LLC

II. Dates (important events)

Enumeration Date: 08/11/2021
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 COURT ST STE B
MOUNT PLEASANT MI
48858-2358
US

IV. Provider business mailing address

210 COURT ST STE B
MOUNT PLEASANT MI
48858-2358
US

V. Phone/Fax

Practice location:
  • Phone: 989-572-0246
  • Fax:
Mailing address:
  • Phone: 989-572-0246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6401226442
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: