Organization
NWI OROFACIAL MYOFUNCTIONAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY LASHENIK LDH (MYOFUNCTIONAL THERAPIST)
(219) 661-7271
Entity
Organization
Contact information
Practice address
566 N INDIANA AVE, CROWN POINT, IN 46307-3412
(219) 661-7271
Mailing address
PO BOX 2425, VALPARAISO, IN 46384-2425
(219) 661-7271
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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