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Organization

LILLISAGE THERAPY COLLECTIVE

Active
Other names
Kalamazoo Therapy Group
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KELSEY NIMMO MA, LPC, LLMFT (OWNER)
(269) 225-5148
Entity
Organization

Contact information

Practice address
1901 PARKVIEW AVE STE 1, KALAMAZOO, MI 49008-4806
(269) 225-5148
Mailing address
1901 PARKVIEW AVE STE 1, KALAMAZOO, MI 49008-4806
(269) 225-5148

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
103T00000X
Psychologist
104100000X
Social Worker
106H00000X
Marriage & Family Therapist

Other

Enumeration date
08/28/2019
Last updated
03/21/2025
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