Provider Demographics
NPI:1295275840
Name:TUNNEY, LORI (LLMSW)
Entity type:Individual
Prefix:MRS
First Name:LORI
Middle Name:
Last Name:TUNNEY
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:MISS
Other - First Name:LORI
Other - Middle Name:
Other - Last Name:CALVEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1175 RIDGEVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48362-3451
Mailing Address - Country:US
Mailing Address - Phone:248-760-2160
Mailing Address - Fax:
Practice Address - Street 1:1175 RIDGEVIEW CIR
Practice Address - Street 2:
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48362
Practice Address - Country:US
Practice Address - Phone:248-760-2160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-01
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801099102104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker