Healthcare Provider Details

I. General information

NPI: 1710585898
Provider Name (Legal Business Name): ALISON LEE TROUT LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2020
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 W LAKE LANSING RD STE 500
EAST LANSING MI
48823-1578
US

IV. Provider business mailing address

315 W LAKE LANSING RD STE 500
EAST LANSING MI
48823-1578
US

V. Phone/Fax

Practice location:
  • Phone: 517-653-3533
  • Fax:
Mailing address:
  • Phone: 517-657-3533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6451025343
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: