LAURIE HOLLISTER (NPI# 1992956130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992956130 |
| Entity Type | Individual |
| Full Name | LAURIE HOLLISTER |
| Practice Address |
6727 Sherman St Otter Lake MI 48464-9794 |
| Mailing Address |
534 Franklin Rd Pontiac MI 48341-2527 |
| Practice Telephone | 8107938957 |
| Mailing Telephone | 2483380702 |
| Mailing Fax Number | 2483380344 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
6727 SHERMAN ST |
| City | OTTER LAKE |
| State | MI |
| Zip Code | 48464-9794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942382619 | Completion House, Inc. Dba Turning Point Recovery Centers | Substance Abuse Rehabilitation Facility | 6727 Sherman St, Otter Lake, MI 48464-9794 | 2006-10-20 |
| 1508026238 | Marcy Carlson | Counselor | 6727 Sherman St, Otter Lake, MI 48464-9794 | 2008-06-16 |
| 1205058344 | Heidi Shock | Counselor | 6727 Sherman St, Otter Lake, MI 48464-9794 | 2007-05-02 |
| 1184844748 | Danielle Clayton | Counselor | 6727 Sherman St, Otter Lake, MI 48464-9794 | 2007-04-26 |
| 1487870051 | Dan Fettes | Counselor | 6727 Sherman St, Otter Lake, MI 48464-9794 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619425352 | Krystina Nicole Miller | Physical Therapist | 13473 Evergreen Dr, Otter Lake, MI 48464 | 2016-09-12 |
| 1740663343 | Res-care Premier, Inc. | Community/Behavioral Health | 4324 Briggs Rd, Otter Lake, MI 48464-9706 | 2015-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619425352 | Krystina Nicole Miller | Physical Therapist | 13473 Evergreen Dr, Otter Lake, MI 48464 | 2016-09-12 |
| 1740663343 | Res-care Premier, Inc. | Community/Behavioral Health | 4324 Briggs Rd, Otter Lake, MI 48464-9706 | 2015-07-01 |
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508026238 | Marcy Carlson | Counselor | 6727 Sherman St, Otter Lake, MI 48464-9794 | 2008-06-16 |
| 1205058344 | Heidi Shock | Counselor | 6727 Sherman St, Otter Lake, MI 48464-9794 | 2007-05-02 |
| 1184844748 | Danielle Clayton | Counselor | 6727 Sherman St, Otter Lake, MI 48464-9794 | 2007-04-26 |
| 1487870051 | Dan Fettes | Counselor | 6727 Sherman St, Otter Lake, MI 48464-9794 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434669 | Great-lakes Restorative Counseling, LLC | Counselor | 11800 Merriman Rd Unit 510896, Livonia, MI 48151-2075 | 2020-10-16 |
| 1386251841 | Diversified Community Services | Counselor | 10301 W 7 Mile Rd, Detroit, MI 48221-1962 | 2020-09-29 |
| 1891302717 | Paige J Welch | Counselor | 1509 Diamond Ave Ne, Grand Rapids, MI 49505-5217 | 2020-09-24 |
| 1588277040 | Gregory Dean Retzlaff | Counselor | 2043 Rowe Ave Ne, Grand Rapids, MI 49505-4238 | 2020-08-25 |
| 1336759539 | Embodied Wellness, Pllc | Counselor | 1354 Harvard Rd, Berkley, MI 48072 | 2020-08-03 |
| 1164030136 | Amina Mcclendon | Counselor | 22190 Avon Rd, Oak Park, MI 48237-2572 | 2020-07-16 |
| 1134747835 | Janita E Deal | Counselor | 503 Pearl St Ste 7, Ypsilanti, MI 48197-2615 | 2020-07-09 |
| 1376160168 | Scott Thomas Montgomery | Counselor | 1242 Baywood Cir, Brighton, MI 48116-6761 | 2020-06-29 |
| 1750907853 | Ronnie Stephen | Counselor | 15025 Fenkell St, Detroit, MI 48227-2647 | 2020-06-24 |
| 1043833643 | Ralph Cunningham | Counselor | 16057 Blue Star M Hwy, South Haven, MI 49090-9470 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | OTTER LAKE |
| Zip Code | 48464 |
Please comment or provide details below to improve the information on LAURIE HOLLISTER.
| 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.