Healthcare Provider Details

I. General information

NPI: 1558290817
Provider Name (Legal Business Name): TROY PIPER LLPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1024 SUPERIOR ST
PORT HURON MI
48060-3748
US

IV. Provider business mailing address

1024 SUPERIOR ST
PORT HURON MI
48060-3748
US

V. Phone/Fax

Practice location:
  • Phone: 810-966-0099
  • Fax: 810-696-7339
Mailing address:
  • Phone: 810-966-0099
  • Fax: 810-696-7339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: