Healthcare Provider Details

I. General information

NPI: 1023465614
Provider Name (Legal Business Name): STEPHEN MAY LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2016
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 S MAUMEE ST
TECUMSEH MI
49286-2033
US

IV. Provider business mailing address

2840 LEE MARIE DR
ADRIAN MI
49221-9234
US

V. Phone/Fax

Practice location:
  • Phone: 517-423-6889
  • Fax: 517-423-6890
Mailing address:
  • Phone: 517-204-2901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401015498
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: