| Holistic Vida Therapy | |
|
119 Pere Marquette Dr Ste 2d Lansing MI 48912-1270 | |
| (517) 455-7555 | |
| Not Available |
| Full Name | Holistic Vida Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 119 Pere Marquette Dr Ste 2d, Lansing, Michigan |
| Authorized Official Name and Position | Illami Romero Martinez (OWNER) |
| Authorized Official Contact | 5179441262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Vida Therapy 119 Pere Marquette Dr Ste 2d Lansing MI 48912-1270 Ph: () - | Holistic Vida Therapy 119 Pere Marquette Dr Ste 2d Lansing MI 48912-1270 Ph: (517) 455-7555 |
| NPI Number | 1043835895 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 06/08/2020 |
| Certification Date | 06/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043835895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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