Healthcare Provider Details

I. General information

NPI: 1780899286
Provider Name (Legal Business Name): MASTERPEACE CENTER FOR COUNSELING & DEVELOPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 01/31/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 S MAUMEE ST
TECUMSEH MI
49286-2033
US

IV. Provider business mailing address

308 S MAUMEE ST
TECUMSEH MI
49286-2033
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN MAY
Title or Position: ADMINISTRATIVE DIRECTOR
Credential: LPC
Phone: 517-423-6889