Healthcare Provider Details

I. General information

NPI: 1336377225
Provider Name (Legal Business Name): MARCI RENE-NELSON CYPHERS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2009
Last Update Date: 07/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4295 OKEMOS RD STE 135
OKEMOS MI
48864-6201
US

IV. Provider business mailing address

3960 PATIENT CARE WAY STE 104
LANSING MI
48911-4276
US

V. Phone/Fax

Practice location:
  • Phone: 517-306-4635
  • Fax: 517-244-8707
Mailing address:
  • Phone: 517-887-9801
  • Fax: 517-887-9826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401011180
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: