Individual
MRS. LORA LEE MINIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5024 N ROYAL DR STE B, TRAVERSE CITY, MI 49684-9230
(231) 276-1999
Mailing address
5024 N ROYAL DR STE B, TRAVERSE CITY, MI 49684-9230
(231) 276-1999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401013219
MI
Other
Enumeration date
08/28/2012
Last updated
07/17/2025
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