| Campbell Therapy Services Pllc | |
|
1750 E Grand River Ave Ste 101 East Lansing MI 48823-4958 | |
| (616) 745-4045 | |
| (517) 323-9531 |
| Full Name | Campbell Therapy Services Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1750 E Grand River Ave Ste 101, East Lansing, Michigan |
| Authorized Official Name and Position | Amy Campbell (OWNER) |
| Authorized Official Contact | 6167454045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Campbell Therapy Services Pllc 1805 Inverness Ave Lansing MI 48915-1284 Ph: (616) 745-4045 | Campbell Therapy Services Pllc 1750 E Grand River Ave Ste 101 East Lansing MI 48823-4958 Ph: (616) 745-4045 |
| NPI Number | 1114411774 |
|---|---|
| Provider Enumeration Date | 06/18/2018 |
| Last Update Date | 01/26/2022 |
| Certification Date | 01/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114411774 | NPI | - | NPPES |
| 1154799419 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 4101006659 (Michigan) | Primary |
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