Provider Demographics
NPI:1154119758
Name:ZOTOS, LAURA ANN (LPC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ANN
Last Name:ZOTOS
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:ANN
Other - Last Name:SCHOMAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:55530 NILE WAY
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48042-6194
Mailing Address - Country:US
Mailing Address - Phone:586-292-5650
Mailing Address - Fax:
Practice Address - Street 1:55530 NILE WAY
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48042-6194
Practice Address - Country:US
Practice Address - Phone:586-292-5650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401003524101YP2500X, 101YM0800X, 101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool