Organization
SPERANZA COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (CREDENTIALING)
(517) 676-9797
Entity
Organization
Contact information
Practice address
790 W LAKE LANSING RD STE 300B, EAST LANSING, MI 48823-8465
(616) 841-5154
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
09/09/2019
Last updated
04/05/2024
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