PEGASUS THERAPY LLC NPI 1578206363

NPI Information

NPI: 1578206363
Provider Name: PEGASUS THERAPY LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
635 SAINT ANDREWS
SAINT CLAIR, MI
ZIP 48079
Phone: (810) 650-2732
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PEGASUS THERAPY LLC is a mental health counselor in Saint Clair, MI. PEGASUS THERAPY LLC NPI is 1578206363. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

635 SAINT ANDREWS
SAINT CLAIR, MI
ZIP 48079-295
Phone: (810) 650-2732

The provider's authorized official is Tamara G Shivers .
The authorized official title is President and has the following contact phone number (810) 650-2732.

The enumeration date for this NPI number is 4/19/2022 and was last updated on 4/19/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

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: 5/5/2024

NPI Synchronization or Removal

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