Healthcare Provider Details

I. General information

NPI: 1558251306
Provider Name (Legal Business Name): TAYLOR RHEA SUTTON LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2025
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2510 KERRY ST STE 200
LANSING MI
48912-3671
US

IV. Provider business mailing address

3633 JOLLY OAK RD UNIT A2069
OKEMOS MI
48864-3575
US

V. Phone/Fax

Practice location:
  • Phone: 517-273-2706
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6851120468
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: