Organization
MERIDIAN PROFESSIONAL PSYCHOLOGICAL CONSULTANTS
Active
Organization
MERIDIAN PROFESSIONAL PSYCHOLOGICAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA ANN GUNNINGS PHD LAC (DIRECTOR OF OPERATIONS)
(517) 332-0811
Entity
Organization
Contact information
Practice address
5031 PARK LAKE ROAD, EAST LANSING, MI 48823-3835
(517) 332-0811
(517) 332-4452
Mailing address
5031 PARK LAKE ROAD, EAST LANSING, MI 48823-3835
(517) 332-0811
(517) 332-4452
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
MI
324500000X
Substance Abuse Rehabilitation Facility
330070
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037146
VALUE OPTIONS
—
01
—
20486
BLUE CROSS SUB ABUSE
—
01
—
248226
CORPORATION
MI
05
—
3276326
—
MI
Enumeration date
04/04/2007
Last updated
09/11/2025
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