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Organization

LAKESIDE THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTY HOLT (OWNER)
(207) 749-8606
Entity
Organization

Contact information

Practice address
795 SHARON DR STE 206, WESTLAKE, OH 44145-1542
(440) 470-0187
Mailing address
795 SHARON DR STE 206, WESTLAKE, OH 44145-1542
(440) 470-0187

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
02/11/2025
Last updated
02/11/2025
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