Healthcare Provider Details

I. General information

NPI: 1518817782
Provider Name (Legal Business Name): ERICA BRUEWER, LMSW, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 ABBOT RD UNIT 1042
EAST LANSING MI
48826-3013
US

IV. Provider business mailing address

1140 ABBOT RD UNIT 1042
EAST LANSING MI
48826-3013
US

V. Phone/Fax

Practice location:
  • Phone: 517-648-8289
  • Fax:
Mailing address:
  • Phone: 517-648-8289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ERICA BRUEWER
Title or Position: MENTAL HEALTH THERAPIST
Credential: LMSW
Phone: 517-648-8289