Organization · Type 2 NPI
Great Lakes Online Counseling LLC
Mental Health Counselor · Traverse City, MI
NPI number
1073445235
Active
Practice location
602 Bloomfield Rd
Traverse City, MI 49686-2835
Mailing address
602 Bloomfield Rd Ste 300
Traverse City, MI 49686-2835
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Professional Counselor | 101YP2500X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1073445235
Great Lakes Online Counseling LLC's National Provider Identifier is 1073445235, issued on Jun 2, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Traverse City, MI. The record was last updated on Jun 2, 2026.