Individual ProviderMolly LaichCounselorBehavioral Health & Social Service ProvidersPractice Address1134 N Campbell Rd Apt 101, Royal Oak, MI 48067-1537(253) 833-7444(248) 736-2989PECOS EnrollmentBased on the most recent information from CMS, provider Molly Laich 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 2 days ago.Profile DetailsProvider ID1649748955Provider TypeIndividualFull NameLaich, MollyGenderFemaleSole ProprietorNoEnumeration Date11/5/2018Last Updated10/27/2022Contact InformationPractice LocationPractice Address1134 N Campbell Rd Apt 101, Royal Oak, MI 48067-1537Phone(253) 833-7444FaxUnlisted FaxMailing LocationMailing Address5524 Rowley Blvd, Waterford Twp, MI 48329-3243Phone(248) 736-2989FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLH61036510WashingtonCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode103T00000XDescriptionPsychologistBehavioral Health & Social Service ProvidersLicense6362009449Michigan