Healthcare Provider Details

I. General information

NPI: 1437922960
Provider Name (Legal Business Name): LAURA DOROTHY EFFKEN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 S WAVERLY RD STE 231
HOLLAND MI
49423-8101
US

IV. Provider business mailing address

409 5TH ST
SPRING LAKE MI
49456-9156
US

V. Phone/Fax

Practice location:
  • Phone: 616-334-7741
  • Fax:
Mailing address:
  • Phone: 231-755-6869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6401225759
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401225759
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: