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Organization
PATRICK PSYCHOTHERAPY LLC
Active
Organization
PATRICK PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDSAY HALL LMSW (OWNER AND PSYCHOTHERAPIST)
(248) 509-5032
Entity
Organization
Contact information
Practice address
1525 GILCREST AVE, EAST LANSING, MI 48823-1841
(810) 588-7426
Mailing address
2843 E GRAND RIVER, BOX 120, EAST LANSING, MI 48823-4989
(810) 588-7426
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0972747
BCBSM PIN
MI
01
—
15584284
CAQH ID
—
01
—
6801114283
STATE LICENSE NUMBER
MI
Enumeration date
11/28/2022
Last updated
11/30/2022
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