Provider Demographics
NPI:1902942279
Name:FIRLIT, DAVID C (LMSW)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:C
Last Name:FIRLIT
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S ANN ARBOR ST
Mailing Address - Street 2:STE. 203 A
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-1361
Mailing Address - Country:US
Mailing Address - Phone:586-980-8170
Mailing Address - Fax:
Practice Address - Street 1:101 S ANN ARBOR ST
Practice Address - Street 2:STE. 203 A
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-1361
Practice Address - Country:US
Practice Address - Phone:586-980-8170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801005729101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health