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
MICHIGAN-ONLINE THERAPY PLLC
Active
Organization
MICHIGAN-ONLINE THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA VAN CLEAVE LPC (OWNER)
(517) 798-1527
Entity
Organization
Contact information
Practice address
3970 PHILROSE DR, JACKSON, MI 49201-9129
(765) 543-7227
Mailing address
3970 PHILROSE DR, JACKSON, MI 49201-9129
(765) 543-7227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316582646
NPI2
—
05
—
1316582646
—
MI
Enumeration date
11/11/2019
Last updated
03/21/2024
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