| Patrick Psychotherapy Llc | |
|
1525 Gilcrest Ave East Lansing MI 48823-1841 | |
| (810) 588-7426 | |
| Not Available |
| Full Name | Patrick Psychotherapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1525 Gilcrest Ave, East Lansing, Michigan |
| Authorized Official Name and Position | Lindsay Hall (OWNER AND PSYCHOTHERAPIST) |
| Authorized Official Contact | 2485095032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Psychotherapy Llc 2843 E Grand River Box 120 East Lansing MI 48823-4989 Ph: (810) 588-7426 | Patrick Psychotherapy Llc 1525 Gilcrest Ave East Lansing MI 48823-1841 Ph: (810) 588-7426 |
| NPI Number | 1154031482 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 11/30/2022 |
| Certification Date | 11/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154031482 | NPI | - | NPPES |
| 0972747 | Other | MI | BCBSM PIN |
| 15584284 | Other | CAQH ID | |
| 6801114283 | Other | MI | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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