Healthcare Provider Details

I. General information

NPI: 1356840698
Provider Name (Legal Business Name): BECKY KAY LAHNER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2018
Last Update Date: 01/25/2021
Certification Date: 01/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

346 LONG RAPIDS PLZ
ALPENA MI
49707-1374
US

IV. Provider business mailing address

PO BOX 655
ALPENA MI
49707-0655
US

V. Phone/Fax

Practice location:
  • Phone: 989-358-3500
  • Fax:
Mailing address:
  • Phone: 989-736-9815
  • Fax: 989-358-3734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801098090
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: