Provider Demographics
NPI:1316124019
Name:DISCOVERY COUNSELING
Entity type:Organization
Organization Name:DISCOVERY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MACP LLP
Authorized Official - Phone:517-488-2545
Mailing Address - Street 1:260 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BRITTON
Mailing Address - State:MI
Mailing Address - Zip Code:49229-9797
Mailing Address - Country:US
Mailing Address - Phone:517-488-2545
Mailing Address - Fax:517-451-5415
Practice Address - Street 1:296 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BRITTON
Practice Address - State:MI
Practice Address - Zip Code:49229-9797
Practice Address - Country:US
Practice Address - Phone:517-488-2545
Practice Address - Fax:517-451-5415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301013432251S00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1831370246OtherNPI