| Doglady Therapy Llc | |
|
13393 Cypress Ave Sand Lake MI 49343-9010 | |
| (616) 263-0259 | |
| Not Available |
| Full Name | Doglady Therapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 13393 Cypress Ave, Sand Lake, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doglady Therapy Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Doglady Therapy Llc 13393 Cypress Ave Sand Lake MI 49343-9010 Ph: (616) 263-0259 |
| NPI Number | 1629531611 |
|---|---|
| Provider Enumeration Date | 04/08/2019 |
| Last Update Date | 11/16/2022 |
| Certification Date | 11/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629531611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Primary |