Provider Demographics
NPI:1548544612
Name:LANTERMAN, ADRIAL MITHRIL (LMSW)
Entity type:Individual
Prefix:MRS
First Name:ADRIAL
Middle Name:MITHRIL
Last Name:LANTERMAN
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6127 COWELL RD
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-5112
Mailing Address - Country:US
Mailing Address - Phone:231-690-3194
Mailing Address - Fax:
Practice Address - Street 1:2540 HARTE DR STE A
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-7014
Practice Address - Country:US
Practice Address - Phone:586-703-0929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-06
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801091619104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker