Provider Demographics
NPI:1174762025
Name:LORING, STEVE W (LMSW)
Entity type:Individual
Prefix:MR
First Name:STEVE
Middle Name:W
Last Name:LORING
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:442 HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:CADILLAC
Mailing Address - State:MI
Mailing Address - Zip Code:49601-2273
Mailing Address - Country:US
Mailing Address - Phone:231-920-8389
Mailing Address - Fax:231-775-8142
Practice Address - Street 1:214 E HARRIS ST
Practice Address - Street 2:
Practice Address - City:CADILLAC
Practice Address - State:MI
Practice Address - Zip Code:49601-2125
Practice Address - Country:US
Practice Address - Phone:231-920-8389
Practice Address - Fax:231-775-8142
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801012620101YP2500X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist