Organization
PEACE OF MIND COUNSELING, CONSULTING, AND SUPERVISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IAN DAVID SHAFER MA, LPC (OWNER)
(517) 316-6600
Entity
Organization
Contact information
Practice address
4025 HOLT RD STE 205, HOLT, MI 48842-6019
(517) 881-7231
Mailing address
4025 HOLT RD STE 205, HOLT, MI 48842-6019
(517) 881-7231
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401012915
MI
101YM0800X
Mental Health Counselor
6401012915
MI
101YP2500X
Professional Counselor
Primary
6401012915
MI
Other
Enumeration date
03/13/2018
Last updated
11/07/2023
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