Healthcare Provider Details

I. General information

NPI: 1720475957
Provider Name (Legal Business Name): CARI MANITEAU MA, LPC, CAADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2015
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 N MISSION ST
MT PLEASANT MI
48858-1825
US

IV. Provider business mailing address

409 N MISSION ST
MT PLEASANT MI
48858-1825
US

V. Phone/Fax

Practice location:
  • Phone: 989-294-2176
  • Fax:
Mailing address:
  • Phone: 989-294-2176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401222334
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: