Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
OUTSIDETHEBOX DETROIT THERAPY
Active
Organization
OUTSIDETHEBOX DETROIT THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY ALLAN LAKE LMSW (CEO/THERAPIST)
(313) 680-0019
Entity
Organization
Contact information
Practice address
4131 CLIPPERT ST, DEARBORN HTS, MI 48125-2732
(313) 680-0019
Mailing address
23131 MICHIGAN AVE # 1046, DEARBORN, MI 48124-2020
(313) 680-0019
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up