| Lost Lake Healing | |
|
13419 Swistier Dr Remus MI 49340-9381 | |
| (231) 408-7866 | |
| Not Available |
| Full Name | Lost Lake Healing |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 13419 Swistier Dr, Remus, Michigan |
| Authorized Official Name and Position | Mckenna Jo Nivison (OWNER/OUTPATIENT THERAPIST) |
| Authorized Official Contact | 2314087866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lost Lake Healing 13419 Swistier Dr Remus MI 49340-9381 Ph: (231) 408-7866 | Lost Lake Healing 13419 Swistier Dr Remus MI 49340-9381 Ph: (231) 408-7866 |
| NPI Number | 1104732155 |
|---|---|
| Provider Enumeration Date | 08/20/2026 |
| Last Update Date | 09/19/2026 |
| Certification Date | 09/19/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104732155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |