Healthcare Provider Details

I. General information

NPI: 1235566316
Provider Name (Legal Business Name): LAURA LEIGH CHAPTON-HUNT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAURA LEIGH STYLEZ LPC

II. Dates (important events)

Enumeration Date: 10/03/2013
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

790 FULLER AVE. NE
GRAND RAPIDS MI
49503
US

IV. Provider business mailing address

4445 HERITAGE CT SW
GRANDVILLE MI
49418-2658
US

V. Phone/Fax

Practice location:
  • Phone: 616-308-7681
  • Fax:
Mailing address:
  • Phone: 616-885-8076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401013916
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: