Organization
ERYN LASGALEN THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN PETERSON (OWNER)
(248) 560-7561
Entity
Organization
Contact information
Practice address
1098 ANN ARBOR RD W # 2491, PLYMOUTH, MI 48170-2129
(248) 560-7561
Mailing address
1098 ANN ARBOR RD W # 2491, PLYMOUTH, MI 48170-2129
(248) 560-7561
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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