Organization
MID MICHIGAN THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK NEWSOME (BILLER/CREDENTIALER)
(517) 442-3341
Entity
Organization
Contact information
Practice address
808 W LAKE LANSING RD STE 200, EAST LANSING, MI 48823-6322
(517) 575-9428
Mailing address
808 W LAKE LANSING RD STE 200, EAST LANSING, MI 48823-6322
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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