Organization
HACKLEY LIFE COUNSELING
Active
Parent organization
MERCY HEALTH MUSKEGON / TRINITY HEALTH
Other names
Mercy Health Partners - Life Counseling
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HEALTH MUSKEGON / TRINITY HEALTH
Authorized official
MICHELLE LOHMAN (REGIONAL DIRECTOR)
(231) 727-4499
Entity
Organization
Contact information
Practice address
125 E SOUTHERN AVE, MUSKEGON, MI 49442
(231) 726-3582
(231) 722-6933
Mailing address
125 E SOUTHERN AVE, MUSKEGON, MI 49442-5041
(231) 726-3582
(231) 722-6933
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
610004
MI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0910713
BCBS - OUTPATIENT PSYCHIATRIC FACILITY
MI
01
—
20363
BCBS SUBSTANCE ABUSE FACILITY
MI
01
—
OF11088
BCBS SOCIAL WORKER GROUP
MI
01
—
OF11343
BCBS PSYCHOLOGIST GROUP
MI
Enumeration date
04/02/2009
Last updated
11/05/2019
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