| Lyon Counseling Center | |
|
127 N Lafayette St South Lyon MI 48178-1210 | |
| (248) 573-7417 | |
| Not Available |
| Full Name | Lyon Counseling Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 127 N Lafayette St, South Lyon, Michigan |
| Authorized Official Name and Position | Melissa Jodoin (OWNER) |
| Authorized Official Contact | 2485737417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyon Counseling Center 127 N Lafayette St South Lyon MI 48178-1210 Ph: (248) 573-7417 | Lyon Counseling Center 127 N Lafayette St South Lyon MI 48178-1210 Ph: (248) 573-7417 |
| NPI Number | 1457983355 |
|---|---|
| Provider Enumeration Date | 02/08/2020 |
| Last Update Date | 08/21/2024 |
| Certification Date | 08/21/2024 |
| Medicare PECOS PAC ID | 1456782564 |
|---|---|
| Medicare Enrollment ID | O20200505001712 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457983355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Gina Shagena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265945430 PECOS PAC ID: 5890125413 Enrollment ID: I20200423000506 |
| Provider Name | Melissa Jodoin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093141665 PECOS PAC ID: 2365873478 Enrollment ID: I20200505001800 |
| Provider Name | Erica Hubbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326621293 PECOS PAC ID: 6507275609 Enrollment ID: I20210430001466 |
| Provider Name | Emily Therese Gutman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902323330 PECOS PAC ID: 3971977224 Enrollment ID: I20230328001427 |
| Provider Name | Alyssa Selasky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326688805 PECOS PAC ID: 0547628091 Enrollment ID: I20230615002167 |
| Provider Name | Kaitlin Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639511058 PECOS PAC ID: 9739548199 Enrollment ID: I20230703000152 |
| Provider Name | Jeffery Alan Zapor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427597418 PECOS PAC ID: 9638223886 Enrollment ID: I20231220003599 |
| Provider Name | Meagan Shepherd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184009664 PECOS PAC ID: 3870944762 Enrollment ID: I20240104002298 |
| Provider Name | Rebecca Eve Arends |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760159024 PECOS PAC ID: 8628429180 Enrollment ID: I20240109002063 |
| Provider Name | Amber Huida |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427700285 PECOS PAC ID: 1254779705 Enrollment ID: I20240403002998 |
| Provider Name | Hannah Sharp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437803376 PECOS PAC ID: 8325487978 Enrollment ID: I20240416002880 |
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