Healthcare Provider Details
I. General information
NPI: 1861973943
Provider Name (Legal Business Name): CAMILLE LAMPERS LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/27/2018
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4710 W SAGINAW HWY STE 9
LANSING MI
48917-2654
US
IV. Provider business mailing address
4710 W SAGINAW HWY STE 9
LANSING MI
48917-2654
US
V. Phone/Fax
- Phone: 527-615-8312
- Fax:
- Phone: 517-615-8312
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | 6451024819 |
| License Number State | MI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: