| Shora House Llc | |
|
6639 Centurion Dr Ste 120 Lansing MI 48917-8273 | |
| (517) 258-0364 | |
| (517) 299-1027 |
| Full Name | Shora House Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6639 Centurion Dr Ste 120, Lansing, Michigan |
| Authorized Official Name and Position | Lauren Frey (OWNER) |
| Authorized Official Contact | 5172953309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shora House Llc 6639 Centurion Dr Ste 120 Lansing MI 48917-8273 Ph: (517) 258-0364 | Shora House Llc 6639 Centurion Dr Ste 120 Lansing MI 48917-8273 Ph: (517) 258-0364 |
| NPI Number | 1437020294 |
|---|---|
| Provider Enumeration Date | 09/15/2025 |
| Last Update Date | 04/28/2026 |
| Certification Date | 04/28/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437020294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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