Organization
BLU IRIS THERAPEUTIC SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA P FARRELL-BYRSKI LMSW (OWNER/THERAPIST)
(262) 227-5776
Entity
Organization
Contact information
Practice address
189 W CLARKSTON RD STE 208, LAKE ORION, MI 48362-2892
(248) 284-3331
Mailing address
189 W CLARKSTON RD STE 208, LAKE ORION, MI 48362-2892
(248) 284-3331
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
12/01/2022
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