Provider Demographics
NPI:1962581389
Name:DRIVER, LORI ANN (LMSW, ACSW)
Entity type:Individual
Prefix:MS
First Name:LORI
Middle Name:ANN
Last Name:DRIVER
Suffix:
Gender:F
Credentials:LMSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3830 PACKARD ST STE 250
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-2273
Mailing Address - Country:US
Mailing Address - Phone:734-975-2757
Mailing Address - Fax:734-975-2909
Practice Address - Street 1:3830 PACKARD ST STE 250
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-2273
Practice Address - Country:US
Practice Address - Phone:734-975-2757
Practice Address - Fax:734-975-2909
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801066884101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health