Provider Demographics
NPI:1922284298
Name:ORLANDO, LAURIE (JD, MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:ORLANDO
Suffix:
Gender:F
Credentials:JD, MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52188 VAN DYKE AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-3575
Mailing Address - Country:US
Mailing Address - Phone:586-405-1603
Mailing Address - Fax:586-254-3312
Practice Address - Street 1:52188 VAN DYKE AVE STE 300
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48316-3575
Practice Address - Country:US
Practice Address - Phone:586-405-1603
Practice Address - Fax:586-254-3312
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-16
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401009502101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional