Changing Seasons Counseling Center

Organization Active NPI Professional Counselor · Menominee, MI

NPI 1649458126 · NPPES record last updated Feb 6, 2008

Key facts

NPI
1649458126
Entity type
Organization (NPI type 2)
Primary specialty
Professional Counselor 101YP2500X
Legal business name
CHANGING SEASONS COUNSELING CENTER
Practice address
2012 10TH St
Menominee, MI 49858-2194
Phone
(906) 863-5646
Fax
(906) 863-1078
NPI assigned
Feb 6, 2008
Organization subpart
No

Authorized official

Name
Dr. Michael Jay Gibson, ED.D
Title
Owner/Therapist
Phone
(906) 863-5646

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

2012 10th St
Menominee, MI 49858
Phone (906) 863-5646

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YP2500X Yes
Marriage & Family Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
106H00000X

Addresses

Primary practice location

2012 10TH St
Menominee, MI 49858-2194

Mailing address

2012 10TH St
Menominee, MI 49858-2194
Phone (906) 863-5646

Other providers in Menominee, MI

All providers in Menominee, MI · Professional Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.