Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Great Lakes Clinical Group, PC

Organization Mental Health Counselor · NPI 1194673889

Great Lakes Clinical Group, PC is a Mental Health Counselor in Waterford, Michigan. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
5
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2709 Pontiac Lake Rd Fl 1
Waterford, MI 48328-2653
Phone: (313) 758-6857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Mental Health Counselor Taxonomy 101YM0800X
Psychologist Taxonomy 103T00000X
Counseling Psychologist Taxonomy 103TC1900X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1194673889
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Snipes — Owner · (213) 827-3038
NPI enumeratedMarch 18, 2026
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026
Mailing address2709 Pontiac Lake Rd Fl 1, Waterford, MI 48328-2653

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