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
LAKE'S EDGE THERAPY SERVICES LLC
Active
Organization
LAKE'S EDGE THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE ANNE KOLACZ LMSW (OWNER)
(616) 502-4586
Entity
Organization
Contact information
Practice address
212 1/2 WASHINGTON AVE STE 3, GRAND HAVEN, MI 49417-3316
(616) 419-8591
Mailing address
59 N DIVISION AVE, HOLLAND, MI 49424-6456
(616) 502-4586
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
08/26/2023
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