Individual ProviderLauren Nicole StoverSocial WorkerBehavioral Health & Social Service ProvidersPractice Address26901 Beaumont Blvd, Southfield, MI 48033-3849(947) 522-3368(947) 522-1848PECOS EnrollmentBased on the most recent information from CMS, provider Lauren Nicole Stover does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1417254400Provider TypeIndividualFull NameStover, Lauren NicoleTitleMs.CredentialLMSWGenderFemaleSole ProprietorYesEnumeration Date2/28/2011Last Updated10/26/2022Contact InformationPractice LocationPractice Address26901 Beaumont Blvd, Southfield, MI 48033-3849Phone(947) 522-3368FaxUnlisted FaxMailing LocationMailing Address26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849Phone(947) 522-1848Fax(947) 522-0307Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6801093614MichiganCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer