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NPI Code Detail

MEDICARE: LAKEVIEW FAMILY COUNSELING CENTER LLC

MEDICARE: LAKEVIEW FAMILY COUNSELING CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1427909266
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAKEVIEW FAMILY COUNSELING CENTER LLC
Provider Business Mailing Address
First Line : 938 PINE TREE RD W
Second Line :
City : LAKE ORION
State : MI
Zip : 48362-2562
Country : US
Telephone Number : 248-904-7093
Fax Number : 248-693-9786
Provider Business Practice Location Address
First Line : 2240 E HILL RD STE F
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-5425
Country : US
Telephone Number : 248-904-7093
Fax Number : 248-693-9786
Authorized Official
Title or Position : OWNER
Name : BRENDA BRYANT
Credential :
Telephone Number : 248-904-7093
Provider Enumeration Date : 02/06/2026
Last Update Date : 02/06/2026

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Directions to “LAKEVIEW FAMILY COUNSELING CENTER LLC ” Practice Location

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