LILLISAGE THERAPY COLLECTIVE NPI 1295383685

NPI Information

  • NPI: 1295383685
  • Provider Name: LILLISAGE THERAPY COLLECTIVE
  • Classification: Counselor - 101Y00000X
  • Entity Type: Organization
  • :
  • Address: 1901 PARKVIEW AVE STE 1
    KALAMAZOO, MI
    ZIP 49008
  • Phone: (269) 225-5148

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NPI Details

LILLISAGE THERAPY COLLECTIVE is a counselor in Kalamazoo, MI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. LILLISAGE THERAPY COLLECTIVE NPI is 1295383685. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1901 PARKVIEW AVE STE 1
KALAMAZOO, MI
ZIP 49008-806
Phone: (269) 225-5148

The provider's authorized official is Kelsey Nimmo .
The authorized official title is Owner and has the following contact phone number (269) 225-5148.

The enumeration date for this NPI number is 8/28/2019 and was last updated on 3/21/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorYes
2103T00000XPsychologistNo
3104100000XSocial WorkerNo
4106H00000XMarriage & Family TherapistNo

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: 3/30/2025

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