Healthcare Provider Details

I. General information

NPI: 1295213783
Provider Name (Legal Business Name): ALTERNATIVE PERSPECTIVES COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2018
Last Update Date: 08/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4295 OKEMOS RD STE 190
OKEMOS MI
48864-6201
US

IV. Provider business mailing address

PO BOX 12
OKEMOS MI
48805-0012
US

V. Phone/Fax

Practice location:
  • Phone: 517-944-5154
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number6401012483
License Number StateMI

VIII. Authorized Official

Name: VIVIAN RODRIGUEZ
Title or Position: PSYCHOTHERAPIST,. COUNSELOR
Credential: LLP, LPC
Phone: 517-944-5154