Provider Demographics
NPI:1194147108
Name:SHUGARS, LAURYN (LPC)
Entity type:Individual
Prefix:
First Name:LAURYN
Middle Name:
Last Name:SHUGARS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 W UNIVERSITY DR STE C
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-1845
Mailing Address - Country:US
Mailing Address - Phone:248-631-4811
Mailing Address - Fax:
Practice Address - Street 1:850 W UNIVERSITY DR STE C
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-1845
Practice Address - Country:US
Practice Address - Phone:248-631-4811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-09
Last Update Date:2024-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013741101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional