Michigan Psychological and Counseling Institute PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6401011816 Issued in MI

Legal business name

MICHIGAN PSYCHOLOGICAL AND COUNSELING INSTITUTE PLLC

Practice address

31584 Schoolcraft Rd
Livonia, MI 48150-1843

Phone

(734) 427-0060

Fax

(734) 427-0851

NPI assigned

Mar 30, 2012

Last updated

Mar 30, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lisa M Tesner, MBR

Title

Co-Owner

Phone

(734) 427-0060

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1679849988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31584 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501843",
            "telephone_number": "734-427-0060",
            "fax_number": "734-427-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31584 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501843",
            "telephone_number": "734-427-0060",
            "fax_number": "734-427-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN PSYCHOLOGICAL AND COUNSELING INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "TESNER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "734-427-0060",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBR"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401011816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Livonia, MI
• Providers in Livonia, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.