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Organization
PEGASUS THERAPY LLC
Active
Organization
PEGASUS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA G SHIVERS MA LPC NBCC (THERAPIST)
(810) 650-2732
Entity
Organization
Contact information
Practice address
240 S PARKER ST, MARINE CITY, MI 48039-3592
(810) 650-2732
Mailing address
5031 POINTE DR, EAST CHINA, MI 48054-3511
(810) 300-6899
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
NULL
Other
Enumeration date
04/19/2022
Last updated
05/12/2025
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