Provider Demographics
NPI:1184867186
Name:LOUNDS, KENNETH SCOTT (LMSW)
Entity Type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:SCOTT
Last Name:LOUNDS
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8305 S SAGINAW ST STE 6
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-1894
Mailing Address - Country:US
Mailing Address - Phone:810-201-4789
Mailing Address - Fax:248-301-1076
Practice Address - Street 1:8305 S SAGINAW ST STE 6
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-1894
Practice Address - Country:US
Practice Address - Phone:810-201-4789
Practice Address - Fax:248-301-1076
Is Sole Proprietor?:No
Enumeration Date:2009-04-07
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010640601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical