Active NPI
The Space Between Counseling and Wellness, LLC
- Clinical Social Worker
- Lake Orion, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- THE SPACE BETWEEN COUNSELING AND WELLNESS, LLC
- Practice address
- 169 W Clarkston Rd Ste 500
Lake Orion, MI 48362-2898 - Phone
- (248) 431-8873
- NPI assigned
- Aug 18, 2026
- Last updated
- Aug 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lauren Bordes, LMSW
- Title
- Owner
- Phone
- (248) 431-8873
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
169 W Clarkston Rd Ste 500
Lake Orion, MI 48362-2898
Mailing address
169 W Clarkston Rd Ste 500
Lake Orion, MI 48362-2898
Phone (248) 431-8873
National Provider Directory
National Provider DirectoryLocations
169 W Clarkston Rd
Ste 500
Lake Orion, MI 48362
Phone (248) 431-8873
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Lake Orion, MI
- NPI 1609461706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787011200000",
"number": "1093620569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 W CLARKSTON RD STE 500",
"city": "LAKE ORION",
"state": "MI",
"postal_code": "483622898",
"telephone_number": "248-431-8873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 W CLARKSTON RD STE 500",
"city": "LAKE ORION",
"state": "MI",
"postal_code": "483622898",
"telephone_number": "248-431-8873"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE SPACE BETWEEN COUNSELING AND WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-18",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A",
"authorized_official_last_name": "BORDES",
"authorized_official_first_name": "LAUREN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-431-8873",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Orion, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.