Healthcare Provider Details

I. General information

NPI: 1720911043
Provider Name (Legal Business Name): DENZER FRANK FOSTER MA, LLPC.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 W BROADWAY ST
MT PLEASANT MI
48858-2444
US

IV. Provider business mailing address

2222 S CRAWFORD RD APT B22
MT PLEASANT MI
48858-9323
US

V. Phone/Fax

Practice location:
  • Phone: 989-779-8999
  • Fax: 989-419-5953
Mailing address:
  • Phone: 715-331-9111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451023657
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: