Individual ProviderLaura Ann SouthwellSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2280 E Grand River Ave, Howell, MI 48843-8503(517) 546-4126(517) 548-0081PECOS EnrollmentBased on the most recent information from CMS, provider Laura Ann Southwell 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 12:57 PM.Profile DetailsProvider ID1730516964Provider TypeIndividualFull NameSouthwell, Laura AnnTitleMs.CredentialLPCGenderFemaleSole ProprietorNoEnumeration Date10/2/2013Last Updated10/2/2013Contact InformationPractice LocationPractice Address2280 E Grand River Ave, Howell, MI 48843-8503Phone(517) 546-4126Fax(517) 546-1300Mailing LocationMailing Address622 E Grand River Ave, Howell, MI 48843-2329Phone(517) 548-0081Fax(517) 548-0498Provider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6802067875MichiganCode101YS0200XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense6401002004Michigan