Provider Demographics
NPI:1235566316
Name:CHAPTON, LAURA LEIGH (LPC)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:LEIGH
Last Name:CHAPTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:LEIGH
Other - Last Name:STYLEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:4445 HERITAGE CT SW
Mailing Address - Street 2:
Mailing Address - City:GRANDVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49418-2658
Mailing Address - Country:US
Mailing Address - Phone:616-885-8076
Mailing Address - Fax:
Practice Address - Street 1:790 FULLER AVE. NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503
Practice Address - Country:US
Practice Address - Phone:616-308-7681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-03
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013916101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional