Provider Demographics
NPI:1588403067
Name:FRENCH, WILLIAM TYROUS (LMSW)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:TYROUS
Last Name:FRENCH
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11305 ROBERTS ROAD
Mailing Address - Street 2:
Mailing Address - City:CHARLEVOIX
Mailing Address - State:MI
Mailing Address - Zip Code:49720-8958
Mailing Address - Country:US
Mailing Address - Phone:765-716-7023
Mailing Address - Fax:
Practice Address - Street 1:4955 S M-88 HIGHWY
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:MI
Practice Address - Zip Code:49615
Practice Address - Country:US
Practice Address - Phone:231-533-8649
Practice Address - Fax:231-533-6778
Is Sole Proprietor?:No
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010970401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical