Healthcare Provider Details

I. General information

NPI: 1992156921
Provider Name (Legal Business Name): TAMARA DOGAN-LAUPP LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2016
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

694 W CHICAGO RD
COLDWATER MI
49036-8405
US

IV. Provider business mailing address

12518 15 MILE RD
MARSHALL MI
49068-9527
US

V. Phone/Fax

Practice location:
  • Phone: 517-279-8866
  • Fax: 517-924-1816
Mailing address:
  • Phone: 269-788-5813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: