| Lifetree Behavioral Health, Llc | |
|
417 Forest St Ste 467 Kalamazoo MI 49001-2747 | |
| (213) 864-1870 | |
| Not Available |
| Full Name | Lifetree Behavioral Health, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 417 Forest St Ste 467, Kalamazoo, Michigan |
| Authorized Official Name and Position | Dana Pellegrino (CEO) |
| Authorized Official Contact | 2138641870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetree Behavioral Health, Llc 417 Forest St Ste 467 Kalamazoo MI 49001-2747 Ph: (213) 864-1870 | Lifetree Behavioral Health, Llc 417 Forest St Ste 467 Kalamazoo MI 49001-2747 Ph: (213) 864-1870 |
| NPI Number | 1710641543 |
|---|---|
| Provider Enumeration Date | 10/27/2021 |
| Last Update Date | 10/27/2021 |
| Certification Date | 10/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710641543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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