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Organization
NWI OROFACIAL MYOFUNCTIONAL THERAPY, LLC
Active
Organization
NWI OROFACIAL MYOFUNCTIONAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY LASHENIK LDH (MYOFUNCTIONAL THERAPIST)
(219) 661-7271
Entity
Organization
Contact information
Practice address
566 N INDIANA AVE, CROWN POINT, IN 46307-3412
(219) 661-7271
Mailing address
PO BOX 2425, VALPARAISO, IN 46384-2425
(219) 661-7271
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
NULL
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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