Healthcare Provider Details

I. General information

NPI: 1073475224
Provider Name (Legal Business Name): LAUREN RILL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 BULLIS RD
GREGORY MI
48137-9579
US

IV. Provider business mailing address

281 BULLIS RD
GREGORY MI
48137-9579
US

V. Phone/Fax

Practice location:
  • Phone: 517-258-0449
  • Fax:
Mailing address:
  • Phone: 517-258-0449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: LAUREN RILL
Title or Position: PSYCHOTHERAPIST
Credential: LMSW
Phone: 810-599-5568