Laurel PK Rehab and Coun Inc

Primary specialty

CounselorTaxonomy code 101Y00000X

License

1558106 Issued in MI

Legal business name

LAUREL PK REHAB AND COUN INC

Practice address

15821 Marsha St
Livonia, MI 48154

Phone

(734) 432-1950

Fax

(734) 432-0325

NPI assigned

May 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Barbara Walsh Trapp, PHD

Title

Owner Operator

Phone

(734) 432-1950

Specialties & licenses 1

Addresses

Other names 1

• Laurel Park Rehabilitation and Counseling Inc Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518187541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530733",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48153",
            "telephone_number": "734-432-1950",
            "fax_number": "734-432-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15821 MARSHA ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48154",
            "telephone_number": "734-432-1950",
            "fax_number": "734-432-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL PK REHAB AND COUN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAPP",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "WALSH",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "734-432-1950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "MI",
            "license": "1558106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Park Rehabilitation and Counseling Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Counselor in Livonia, MI
• Providers in Livonia, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.