Healthcare Provider Details

I. General information

NPI: 1396696613
Provider Name (Legal Business Name): DEBBIE SLATER LMSW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2026
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 HASLETT RD STE 103
EAST LANSING MI
48823-2823
US

IV. Provider business mailing address

1350 HASLETT RD STE 103
EAST LANSING MI
48823-2823
US

V. Phone/Fax

Practice location:
  • Phone: 517-349-3090
  • Fax: 517-347-7892
Mailing address:
  • Phone: 517-349-3090
  • Fax: 517-347-7892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. DEBBIE LYNN SLATER
Title or Position: PSYCHOTHERAPIST
Credential: LMSW
Phone: 517-349-3090