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Mrs. Mary Lucille Stoddard, LPC
Community/Behavioral Health Agency in Portage, Michigan
NPI 1083980551

Mary Lucille Stoddard is a Community/Behavioral Health Agency based in Portage, MI. Mary Lucille Stoddard practices in Portage, MI and has the professional credentials of LPC. The NPI Number for Mary Lucille Stoddard is 1083980551 and holds a License No. 6401008403 (Michigan).

The current practice location address for Mary Lucille Stoddard is 745 Alfa Ct Apt 1A, Portage, MI and can be reached out via phone at 989-305-2095.

Location: 745 Alfa Ct Apt 1A, Portage, MI, 49002-2979
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083980551
Provider Name
Mary Lucille Stoddard
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
745 Alfa Ct Apt 1A, Portage, MI, 49002-2979
Phone Number
989-305-2095
Fax Number
Provider Enumeration Date
03/28/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
745 Alfa Ct Apt 1A
City
Portage
State
Michigan
Zip
49002-2979
Phone Number
989-305-2095
Fax Number
person
Provider Business Mailing Address Details
Address
745 Alfa Ct Apt 1A
City
Portage
State
Michigan
Zip
49002-2979
Phone Number
989-305-2095
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
6401008403 (Michigan)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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