| Light Transitions Therapy Pllc | |
|
2172 Commons Pkwy Ste C-2 Okemos MI 48864-3986 | |
| (517) 410-4043 | |
| Not Available |
| Full Name | Light Transitions Therapy Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2172 Commons Pkwy Ste C-2, Okemos, Michigan |
| Authorized Official Name and Position | Cathy Gallegos (CREDENTIALING MANAGE) |
| Authorized Official Contact | 5172041270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Light Transitions Therapy Pllc 1001 Maplehill Ave Lansing MI 48910-4728 Ph: (517) 410-4043 | Light Transitions Therapy Pllc 2172 Commons Pkwy Ste C-2 Okemos MI 48864-3986 Ph: (517) 410-4043 |
| NPI Number | 1568242782 |
|---|---|
| Provider Enumeration Date | 10/04/2023 |
| Last Update Date | 10/20/2023 |
| Certification Date | 10/20/2023 |
| Medicare PECOS PAC ID | 1254781966 |
|---|---|
| Medicare Enrollment ID | O20231221000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568242782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sylvia Light |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477092237 PECOS PAC ID: 1153718309 Enrollment ID: I20220419000287 |
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