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LITTLE LAKE PSYCHIATRY AND THERAPY SERVICES PLLC NPI 1053067629


NPI Information

NPI: 1053067629
Provider Name: LITTLE LAKE PSYCHIATRY AND THERAPY SERVICES PLLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
405 LITTLE LAKE DR STE A9
ANN ARBOR, MI
ZIP 48103
Phone: (734) 404-8188
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LITTLE LAKE PSYCHIATRY AND THERAPY SERVICES PLLC is an adult mental health clinic center in Ann Arbor, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. LITTLE LAKE PSYCHIATRY AND THERAPY SERVICES PLLC NPI is 1053067629. The provider is registered as an organization entity type.

The provider's business location address is:

405 LITTLE LAKE DR STE A9
ANN ARBOR, MI
ZIP 48103-220
Phone: (734) 404-8188

The provider's authorized official is Alisa Schlacht .
The authorized official title is Owner and has the following contact phone number (517) 304-7056.

The enumeration date for this NPI number is 2/23/2022 and was last updated on 3/27/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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