Healthcare Provider Details

I. General information

NPI: 1962827352
Provider Name (Legal Business Name): LORI ANN WARHOLAK MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2014
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 W WALTON BLVD STE A
WATERFORD MI
48329-4191
US

IV. Provider business mailing address

3716 MARINER ST
WATERFORD MI
48329-2269
US

V. Phone/Fax

Practice location:
  • Phone: 248-461-6266
  • Fax: 248-461-6304
Mailing address:
  • Phone: 248-408-0929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number6802064882
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6401017982
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: