Church, Laurie J

Church, Laurie J is an sole proprietor health care provider with primary practice located at 22800 Hall Rd Ste 240 , Clinton Township MI 48036. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Church, Laurie J can be contacted via phone (313) 344-7154.

Contact Information

Primary practice address
22800 Hall Rd Ste 240 Clinton Township MI 48036
Phone: (313) 344-7154
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401010685 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6401010685 Michigan

Profile Details

NPI number 1508034661
LBN Legal business name Church, Laurie J
Credentials MA LPC NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2008
Last updated May 31st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508034661 NPPES
Other 1215426747 TYPE II NPI
MEDICAID 1508034661 TYPE II NPI
Other 15080346641 TYPE II NPI

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