Provider Demographics
NPI:1184080137
Name:SPRATTMORAN, MARGARET (LPC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:SPRATTMORAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1480 N LAKE LEELANAU DR
Mailing Address - Street 2:
Mailing Address - City:LAKE LEELANAU
Mailing Address - State:MI
Mailing Address - Zip Code:49653-9799
Mailing Address - Country:US
Mailing Address - Phone:617-335-5775
Mailing Address - Fax:
Practice Address - Street 1:1480 N LAKE LEELANAU DR
Practice Address - Street 2:
Practice Address - City:LAKE LEELANAU
Practice Address - State:MI
Practice Address - Zip Code:49653-9799
Practice Address - Country:US
Practice Address - Phone:617-335-5775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-06
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL750094101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional