Organization
BEACON COUNSELING UNITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA POMNITZ LMSW, BSW (MEMBER)
(248) 599-2213
Entity
Organization
Contact information
Practice address
34617 NANCY ST, WESTLAND, MI 48186-4394
(248) 599-2213
Mailing address
34617 NANCY ST, WESTLAND, MI 48186-4394
(248) 599-2213
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
167G00000X
Licensed Psychiatric Technician
—
—
1835P1300X
Psychiatric Pharmacist
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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