Provider Demographics
NPI:1528287091
Name:FALEER, SHIRLEY HOLTON (MA, LPC)
Entity type:Individual
Prefix:MS
First Name:SHIRLEY
Middle Name:HOLTON
Last Name:FALEER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3265 HILLTOP LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-9500
Mailing Address - Country:US
Mailing Address - Phone:989-400-2367
Mailing Address - Fax:
Practice Address - Street 1:3265 HILLTOP LN
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-9500
Practice Address - Country:US
Practice Address - Phone:989-400-2367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401006256101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional