Provider Demographics
NPI:1861975724
Name:MCKNIGHT, LORRAINE MARCIA (LPC)
Entity type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:MARCIA
Last Name:MCKNIGHT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8981 BRISTOL CT
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-3204
Mailing Address - Country:US
Mailing Address - Phone:734-657-8454
Mailing Address - Fax:
Practice Address - Street 1:3830 PACKARD ST STE 250
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-2273
Practice Address - Country:US
Practice Address - Phone:734-413-7988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-07
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401007158101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6401007158OtherLICENSED PROFESSIONAL COUNSELOR