Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lori Gray Boothroyd PLLC

Organization Community/Behavioral Health Agency · NPI 1508001090

Lori Gray Boothroyd PLLC is a Community/Behavioral Health Agency in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12935 S West Bay Shore Dr Ste 200
Traverse City, MI 49684-6298
Phone: (231) 929-4722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence 6301012397 (MI)

Record details

NPI number1508001090
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Boothroyd — Licensed Psychologist · (231) 929-4722
NPI enumeratedDecember 11, 2008
Last updated in NPPESAugust 10, 2012
Mailing address13351 S Partridge Run Dr, Traverse City, MI 49684-8485

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