Organization
SELF LED THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL LEEANN BENTLEY LPC (CEO/OWNER)
(810) 513-4976
Entity
Organization
Contact information
Practice address
2970 E LAKE LANSING RD, EAST LANSING, MI 48823-7415
(810) 513-4976
Mailing address
5966 HARPER RD, HOLT, MI 48842-8618
(810) 513-4976
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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