Provider Demographics
NPI:1134881436
Name:ELIZABETH DUNNUCK COUNSELING SERVICES
Entity type:Organization
Organization Name:ELIZABETH DUNNUCK COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNNUCK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:517-505-6200
Mailing Address - Street 1:1423 W NORTON AVE
Mailing Address - Street 2:
Mailing Address - City:NORTON SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:49441-4320
Mailing Address - Country:US
Mailing Address - Phone:517-505-6200
Mailing Address - Fax:
Practice Address - Street 1:316 MORRIS AVE STE 200
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49440-1154
Practice Address - Country:US
Practice Address - Phone:616-805-3660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health