Provider Demographics
NPI:1326764895
Name:INNER PEACE THERAPY, LLC
Entity Type:Organization
Organization Name:INNER PEACE THERAPY, LLC
Other - Org Name:INNER PEACE THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:517-899-0050
Mailing Address - Street 1:1906 FAIRMONT ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-7121
Mailing Address - Country:US
Mailing Address - Phone:517-899-0050
Mailing Address - Fax:877-316-0026
Practice Address - Street 1:1906 FAIRMONT ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-7121
Practice Address - Country:US
Practice Address - Phone:517-899-0050
Practice Address - Fax:877-316-0026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty