LAURA DANIELLE MAMMEN LPC LMFT NCC ACS NPI 1821480104

NPI Information

NPI: 1821480104
Provider Name: LAURA DANIELLE MAMMEN, LPC, LMFT, NCC, ACS
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
805 LEONARD ST NE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 774-4617
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Laura Danielle Mammen, LPC, LMFT, NCC, ACS is a professional counselor in Grand Rapids, MI. Laura Danielle Mammen, LPC, LMFT, NCC, ACS NPI is 1821480104. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

805 LEONARD ST NE
GRAND RAPIDS, MI
ZIP 49503-138
Phone: (616) 774-4617
Fax: (616) 361-4141

The enumeration date for this NPI number is 2/24/2015 and was last updated on 2/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist		4101006214	MICHIGAN	No
2	101YP2500X	Counselor	Professional	6401007999	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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