Campbell Therapy Services Pllc | |
1750 E Grand River Ave Ste 101 East Lansing MI 48823-4958 | |
(616) 745-4045 | |
(517) 323-9531 |
Full Name | Campbell Therapy Services Pllc |
---|---|
Speciality | Marriage & Family Therapist |
Location | 1750 E Grand River Ave Ste 101, East Lansing, Michigan |
Authorized Official Name and Position | Amy Campbell (OWNER) |
Authorized Official Contact | 6167454045 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Campbell Therapy Services Pllc 1805 Inverness Ave Lansing MI 48915-1284 Ph: (616) 745-4045 | Campbell Therapy Services Pllc 1750 E Grand River Ave Ste 101 East Lansing MI 48823-4958 Ph: (616) 745-4045 |
NPI Number | 1114411774 |
---|---|
Provider Enumeration Date | 06/18/2018 |
Last Update Date | 01/26/2022 |
Certification Date | 01/26/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114411774 | NPI | - | NPPES |
1154799419 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 4101006659 (Michigan) | Primary |
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