Provider Demographics
NPI:1083065098
Name:LAHRING, KURTIS (LMSW-C)
Entity Type:Individual
Prefix:MR
First Name:KURTIS
Middle Name:
Last Name:LAHRING
Suffix:
Gender:M
Credentials:LMSW-C
Other - Prefix:MR
Other - First Name:KURTIS
Other - Middle Name:NEAL
Other - Last Name:MCELROY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1641 W WARDLOW RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48357-4320
Mailing Address - Country:US
Mailing Address - Phone:248-820-6861
Mailing Address - Fax:
Practice Address - Street 1:2415 OWEN RD STE C
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-1705
Practice Address - Country:US
Practice Address - Phone:248-820-6861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-30
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
247200000X
MI68011148371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other