Healthcare Provider Details

I. General information

NPI: 1992284533
Provider Name (Legal Business Name): LAUREN BRILL LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2018
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4519 DEVONSHIRE AVE
LANSING MI
48910-7612
US

IV. Provider business mailing address

4519 DEVONSHIRE AVE
LANSING MI
48910-7612
US

V. Phone/Fax

Practice location:
  • Phone: 248-881-2588
  • Fax:
Mailing address:
  • Phone: 248-881-2588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number68001108866
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: