| Lux Aeterna Holistic Therapy | |
|
348 S Waverly Rd Ste 126 Holland MI 49423-8102 | |
| (616) 834-5648 | |
| Not Available |
| Full Name | Lux Aeterna Holistic Therapy |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 348 S Waverly Rd Ste 126, Holland, Michigan |
| Authorized Official Name and Position | Sandra Morris (OWNER/THERAPIST) |
| Authorized Official Contact | 6168345648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lux Aeterna Holistic Therapy 348 S Waverly Rd Ste 126 Holland MI 49423-8102 Ph: (616) 834-5648 | Lux Aeterna Holistic Therapy 348 S Waverly Rd Ste 126 Holland MI 49423-8102 Ph: (616) 834-5648 |
| NPI Number | 1417662586 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 02/15/2023 |
| Certification Date | 02/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417662586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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