MICHIGAN THERAPY CENTER (NPI# 1275032807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275032807 |
| Entity Type | Organization |
| Organization Name | MICHIGAN THERAPY CENTER |
| Practice Address |
60565 Springhaven Ct Lawton MI 49065-7687 |
| Practice Telephone | 2697621010 |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |
| Authorized Official Name | CORINNE RENEE CLANCY GRABER (THERAPIST) |
| Authorized Official Telephone | 2697621010 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
4101006627 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720465339 | Michigan Therapy Center | Clinic/Center | 2111 Merritt Rd, Suite 101, East Lansing, MI 48823-6916 | 2015-05-04 |
| Street Address |
60565 SPRINGHAVEN CT |
| City | LAWTON |
| State | MI |
| Zip Code | 49065-7687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326253824 | Tomi Lynn Haas | Technician, Other | 350 N.main St, Lawton, MI 49065 | 2007-05-10 |
| 1104291996 | Patricia Ann Hinckley | Counselor | 71125 26th St, Lawton, MI 49065-5608 | 2015-12-05 |
| 1164976122 | Jenna Maury | Technician, Other | 26544 66th Ave, Lawton, MI 49065-8504 | 2016-08-08 |
| 1992154439 | Jamie Barnett | Home Health Aide | 210 Morrill St, Lawton, MI 49065-8722 | 2016-06-06 |
| 1720494529 | Shelby Chopp | Pharmacist | 64670 Windrose Way, Lawton, MI 49065-9238 | 2014-07-01 |
| 1639487796 | Jeffrey Robert Stull | Pharmacist | 350 N Main St, Lawton, MI 49065-9249 | 2010-09-22 |
| 1851317820 | Stacey Ann Bennett | Pharmacist | 350 N Main St, Lawton, MI 49065-9249 | 2006-07-14 |
| 1609030162 | Sandy J Waite | Social Worker | 34010 88th Ave, Lawton, MI 49065-9302 | 2008-07-14 |
| 1275864464 | Robin Edward Feringa | Radiologic Technologist | 76181 33rd St, Lawton, MI 49065-9343 | 2010-01-27 |
| 1003244773 | White Oaks Retirement Residence, Inc | Alzheimer Center (Dementia Center) | 300 White Oak Rd, Lawton, MI 49065-9541 | 2013-10-16 |
| Find all providers in zip 49065 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600048 | Taylor Dawn Prosser | Counselor | 1904 Nw Cache Rd, Lawton, OK 73507-4539 | 2019-07-13 |
| 1871057893 | Roxanne Elizabeth Wiseman | Counselor | 1604 Nw Lake Ave, Lawton, OK 73507-6451 | 2019-01-23 |
| 1225506264 | Itai Chinhamo-wilson | Counselor | 1802 Nw Ferris Ave, Lawton, OK 73507-5625 | 2018-11-07 |
| 1720516313 | Cequinse Scruggs | Counselor | 2704 Nw 52nd St Apt S5, Lawton, OK 73505-1459 | 2017-05-26 |
| 1235679671 | Angela L. Stanley, Lpc | Counselor | 1529 W Gore Blvd, C2, Lawton, OK 73501-3646 | 2017-03-05 |
| 1518343201 | Lasonia Rogers | Counselor | 2513 Nw 38th Pl, Lawton, OK 73505 | 2015-08-04 |
| 1245635382 | Kelly Mills | Counselor | 215 Se Warwick Way, Lawton, OK 73501-6368 | 2014-10-31 |
| 1114333150 | Mark Slater | Counselor | 401 Ne Angus St, Lawton, OK 73507-1408 | 2014-07-10 |
| 1639580848 | Andrea Loftis | Counselor | 1311 Sw E Ave, Lawton, OK 73501-4716 | 2014-05-12 |
| 1366870784 | Karlie Rae Parry | Counselor | 305 Nw Sheridan Rd Ste A, Lawton, OK 73505-6520 | 2013-10-22 |
| Find all providers in LAWTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.