MEDICARE: LAURI ANN MCVEIGH 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
1	101Y00000X	Counselor	6401007581	MI
2	101YP2500X	Professional Counselor	6401007581	MI

General Provider Information

NPI Number	:	1760659304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURI ANN MCVEIGH LPC

Provider Business Mailing Address
First Line	:	27 BEVERLY RD
Second Line	:
City	:	GROSSE POINTE FARMS
State	:	MI
Zip	:	48236-3705
Country	:	US
Telephone Number	:	810-240-2555
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 BEVERLY RD
Second Line	:
City	:	GROSSE POINTE FARMS
State	:	MI
Zip	:	48236-3705
Country	:	US
Telephone Number	:	810-240-2555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2008
Last Update Date	:	09/18/2023

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