Active NPI
The Space Between Counseling and Wellness, LLC
- Clinical Social Worker
- Lake Orion, MI
National Provider Identifier
1093620569
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
- 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
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
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.