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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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