Patrick Psychotherapy Llc | |
1525 Gilcrest Ave East Lansing MI 48823-1841 | |
(810) 588-7426 | |
Not Available |
Full Name | Patrick Psychotherapy Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 1525 Gilcrest Ave, East Lansing, Michigan |
Authorized Official Name and Position | Lindsay Hall (OWNER AND PSYCHOTHERAPIST) |
Authorized Official Contact | 2485095032 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Patrick Psychotherapy Llc 2843 E Grand River Box 120 East Lansing MI 48823-4989 Ph: (810) 588-7426 | Patrick Psychotherapy Llc 1525 Gilcrest Ave East Lansing MI 48823-1841 Ph: (810) 588-7426 |
NPI Number | 1154031482 |
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Provider Enumeration Date | 11/28/2022 |
Last Update Date | 11/30/2022 |
Certification Date | 11/30/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154031482 | NPI | - | NPPES |
0972747 | Other | MI | BCBSM PIN |
15584284 | Other | CAQH ID | |
6801114283 | Other | MI | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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