MEDICARE: OUT OF THE WOODS MENTAL HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1578421160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OUT OF THE WOODS MENTAL HEALTH LLC

Provider Business Mailing Address
First Line	:	2224 W MORRELL ST
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49203-1358
Country	:	US
Telephone Number	:	517-745-5969
Fax Number	:

Provider Business Practice Location Address
First Line	:	2017 4TH ST
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49203-4572
Country	:	US
Telephone Number	:	517-745-5969
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LAUREN ALEXANDRIA COLIP
Credential	:	DSW, LMSW
Telephone Number	:	517-745-5969

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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