| Lts Therapy | |
|
4341 S Westnedge Ave Ste 2212 Kalamazoo MI 49008-3287 | |
| (312) 285-9063 | |
| Not Available |
| Full Name | Lts Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 4341 S Westnedge Ave Ste 2212, Kalamazoo, Michigan |
| Authorized Official Name and Position | Lisa Sonday (LICENSED THERAPIST) |
| Authorized Official Contact | 3122859063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lts Therapy 7362 Dunross Dr Portage MI 49024-0709 Ph: (312) 285-9063 | Lts Therapy 4341 S Westnedge Ave Ste 2212 Kalamazoo MI 49008-3287 Ph: (312) 285-9063 |
| NPI Number | 1710730650 |
|---|---|
| Provider Enumeration Date | 04/10/2024 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Medicare PECOS PAC ID | 9537608781 |
|---|---|
| Medicare Enrollment ID | O20240831000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710730650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lisa Turk Sonday |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104262997 PECOS PAC ID: 7719109909 Enrollment ID: I20141103001049 |
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