| Eryn Lasgalen Therapy Llc | |
|
1098 Ann Arbor Rd W # 2491 Plymouth MI 48170-2129 | |
| (248) 560-7561 | |
| Not Available |
| Full Name | Eryn Lasgalen Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1098 Ann Arbor Rd W # 2491, Plymouth, Michigan |
| Authorized Official Name and Position | Bryan Peterson (OWNER) |
| Authorized Official Contact | 2485607561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eryn Lasgalen Therapy Llc 1098 Ann Arbor Rd W # 2491 Plymouth MI 48170-2129 Ph: (248) 560-7561 | Eryn Lasgalen Therapy Llc 1098 Ann Arbor Rd W # 2491 Plymouth MI 48170-2129 Ph: (248) 560-7561 |
| NPI Number | 1689385478 |
|---|---|
| Provider Enumeration Date | 12/12/2022 |
| Last Update Date | 12/12/2022 |
| Certification Date | 12/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689385478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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