Organization
LUX AETERNA HOLISTIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA MORRIS MLP (OWNER/THERAPIST)
(616) 834-5648
Entity
Organization
Contact information
Practice address
348 S WAVERLY RD STE 126, HOLLAND, MI 49423-8102
(616) 834-5648
Mailing address
348 S WAVERLY RD STE 126, HOLLAND, MI 49423-8102
(616) 834-5648
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
02/15/2023
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