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NPI Code Detail

MEDICARE: LAURA CASEY M.A., LPC

MEDICARE:   LAURA  CASEY  M.A., LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor6401006716MI
2101YM0800XMental Health CounselorL912751MI

General Provider Information

NPI Number : 1003954025
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA CASEY M.A., LPC
Provider Business Mailing Address
First Line : 21885 DUNHAM RD STE 1
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48036-1030
Country : US
Telephone Number : 586-469-5955
Fax Number :
Provider Business Practice Location Address
First Line : 21885 DUNHAM RD
Second Line : STE. 1
City : CLINTON TOWNSHIP
State : MI
Zip : 48036-1030
Country : US
Telephone Number : 586-469-5955
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2007
Last Update Date : 05/21/2026

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Directions to “ LAURA CASEY M.A., LPC” Practice Location

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