Provider Demographics
NPI:1740953983
Name:LAUREN PRESUTTI LLC
Entity type:Organization
Organization Name:LAUREN PRESUTTI LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRESUTTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-685-7687
Mailing Address - Street 1:343 RIVER OAKS DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48381-1037
Mailing Address - Country:US
Mailing Address - Phone:248-717-1232
Mailing Address - Fax:
Practice Address - Street 1:343 RIVER OAKS DR
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MI
Practice Address - Zip Code:48381-1037
Practice Address - Country:US
Practice Address - Phone:248-717-1232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-25
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty