| Inner Light Therapy Llc | |
|
4345 Tracy Trail Ct Dorr MI 49323-9007 | |
| (269) 908-0245 | |
| Not Available |
| Full Name | Inner Light Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4345 Tracy Trail Ct, Dorr, Michigan |
| Authorized Official Name and Position | Mckinzie Deweerd (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 2699080245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Light Therapy Llc 4345 Tracy Trail Ct Dorr MI 49323-9007 Ph: (269) 908-0245 | Inner Light Therapy Llc 4345 Tracy Trail Ct Dorr MI 49323-9007 Ph: (269) 908-0245 |
| NPI Number | 1336910694 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 07/10/2024 |
| Certification Date | 06/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336910694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
2 Birds Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1743 142nd Ave Ste 8, Dorr, MI 49323 Phone: 616-550-5957 | |
Amdg Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1853 136th Ave, Dorr, MI 49323 Phone: 269-793-7672 |