Provider Demographics
NPI:1043036973
Name:INMAN, LAURA ANN (LLPC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ANN
Last Name:INMAN
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 E COLBY ST
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:MI
Mailing Address - Zip Code:49461-1113
Mailing Address - Country:US
Mailing Address - Phone:231-893-8336
Mailing Address - Fax:231-981-5277
Practice Address - Street 1:2450 RUDDIMAN DR
Practice Address - Street 2:
Practice Address - City:NORTH MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49445-3261
Practice Address - Country:US
Practice Address - Phone:231-893-8336
Practice Address - Fax:231-981-5277
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451023986101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional