| The Support Group Llc | |
|
2698 Heather Dr East Lansing MI 48823-3830 | |
| (989) 494-9057 | |
| Not Available |
| Full Name | The Support Group Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2698 Heather Dr, East Lansing, Michigan |
| Authorized Official Name and Position | Tamera Lagalo (OWNER) |
| Authorized Official Contact | 9894949057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Support Group Llc Po Box 854 Okemos MI 48805-0854 Ph: () - | The Support Group Llc 2698 Heather Dr East Lansing MI 48823-3830 Ph: (989) 494-9057 |
| NPI Number | 1598362998 |
|---|---|
| Provider Enumeration Date | 10/08/2020 |
| Last Update Date | 10/08/2020 |
| Certification Date | 10/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598362998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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