Doris L Hale, LPC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Middleville, MI

NPI 1366554396 · NPPES record last updated Oct 17, 2007

Key facts

NPI
1366554396
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
7400100 (MI)
Practice address
402 Thornton St
Middleville, MI 49333-9706
Phone
(269) 795-2243
Fax
(269) 795-5315
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7400100MIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shared-Steps Counseling & Consultation Services PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 7400100 MI Yes

Addresses

Primary practice location

402 Thornton St
Middleville, MI 49333-9706

Mailing address

PO Box 339
Middleville, MI 49333-0339
Phone (269) 795-2243

Other providers in Middleville, MI

All providers in Middleville, MI · Addiction (Substance Use Disorder) Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.