Healthcare Provider Details

I. General information

NPI: 1578364048
Provider Name (Legal Business Name): LAURENS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2025
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3426 SPRINGBROOK DR NW
GRAND RAPIDS MI
49544-6921
US

IV. Provider business mailing address

3426 SPRINGBROOK DR NW
GRAND RAPIDS MI
49544-6921
US

V. Phone/Fax

Practice location:
  • Phone: 616-502-4455
  • Fax:
Mailing address:
  • Phone:
  • 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: LAUREN DUNKIN
Title or Position: PSYCHOTHERAPIST
Credential:
Phone: 626-502-4455