Individual
LORI A HEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLP, CAADC
Contact information
Practice address
14223 S FRANCISCO RD, GRASS LAKE, MI 49240-9815
(810) 204-5731
Mailing address
14223 S FRANCISCO RD, GRASS LAKE, MI 49240-9815
(810) 204-5731
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6301010410
MI
103T00000X
Psychologist
6301010410
MI
103T00000X
Psychologist
Primary
6361004537
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
750910475
BCBS PIN
MI
Enumeration date
08/14/2006
Last updated
08/05/2022
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