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General NPI Number Information
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NPI Number | 1114840741
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Entity Type | Individual
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Provider Name | LAUREN ALFONSI LPC, ATR
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Gender | Female
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 215 E BIG BEAVER RD STE 100
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City | TROY
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State | MI
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Zip | 48083-1216
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Country | US
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Telephone | 313-451-3315
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Fax |
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Provider Business Mailing Address
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Address Line | 5585 FAIRFIELD PL
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City | MOBILE
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State | AL
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Zip | 36609-2569
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6451022065
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License Number State | MI
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