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NPI Code Detail

MEDICARE: LAUREN ELIZABETH BERGH LPC

MEDICARE:   LAUREN ELIZABETH BERGH  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
1101YP2500XProfessional Counselor6401017647MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437652211
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ELIZABETH BERGH LPC
Provider Business Mailing Address
First Line : 1207 W KALAMAZOO ST
Second Line :
City : LANSING
State : MI
Zip : 48915-1621
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 311 HARRISON ST
Second Line :
City : GRAND LEDGE
State : MI
Zip : 48837-1577
Country : US
Telephone Number : 517-338-3090
Fax Number : 517-338-3090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2018
Last Update Date : 06/06/2023

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Directions to “ LAUREN ELIZABETH BERGH LPC” Practice Location

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