Provider Demographics
NPI:1760659304
Name:MCVEIGH, LAURI ANN (LPC)
Entity Type:Individual
Prefix:
First Name:LAURI
Middle Name:ANN
Last Name:MCVEIGH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LAURI
Other - Middle Name:ANN
Other - Last Name:MCVEIGH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:27 BEVERLY RD
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-3705
Mailing Address - Country:US
Mailing Address - Phone:810-240-2555
Mailing Address - Fax:
Practice Address - Street 1:27 BEVERLY RD
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE FARMS
Practice Address - State:MI
Practice Address - Zip Code:48236-3705
Practice Address - Country:US
Practice Address - Phone:810-240-2555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401007581101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor