Lisa C Beauvais, MA, LPC
Individual provider Active NPI Counselor · Macomb, MI
NPI 1003918251 · NPPES record last updated Apr 13, 2022
Key facts
- NPI
- 1003918251
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 6401009985 (MI)
- Practice address
- 49587 Hiddenbrook Dr
Macomb, MI 48042-4849 - Phone
- (586) 612-1631
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401009985 | MI | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401009985 | MI | Yes |
Addresses
Primary practice location
49587 Hiddenbrook Dr
Macomb, MI 48042-4849
Mailing address
49587 Hiddenbrook Dr
Macomb, MI 48042-4849
Phone (586) 612-1631
Other providers in Macomb, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.