Organization
SHORELINE THERAPY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA LYNN SIAS LMSW (OWNER)
(231) 557-5319
Entity
Organization
Contact information
Practice address
116 W COLBY ST, SUITE B2, WHITEHALL, MI 49461-1083
(231) 557-5319
Mailing address
116 W COLBY ST, SUITE B2, WHITEHALL, MI 49461-1083
(231) 557-5319
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801073168
MI
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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