Organization Active NPI

The Space Between Counseling and Wellness, LLC

  • Clinical Social Worker
  • Lake Orion, MI
National Provider Identifier
1093620569
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Aug 18, 2026

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.