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Organization
LILLISAGE THERAPY COLLECTIVE
Active
Organization
LILLISAGE THERAPY COLLECTIVE
Active
Other names
Kalamazoo Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELSEY NIMMO MA, LPC, LLMFT (OWNER)
(269) 225-5148
Entity
Organization
Contact information
Practice address
1901 PARKVIEW AVE STE 1, KALAMAZOO, MI 49008-4806
(269) 225-5148
Mailing address
1901 PARKVIEW AVE STE 1, KALAMAZOO, MI 49008-4806
(269) 225-5148
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/28/2019
Last updated
03/21/2025
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