Provider Demographics
NPI:1518745728
Name:PROCESS TO PROGRESS THERAPY SERVICES
Entity Type:Organization
Organization Name:PROCESS TO PROGRESS THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:LUTTRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-413-9115
Mailing Address - Street 1:9600 MARSHALL RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH LYON
Mailing Address - State:MI
Mailing Address - Zip Code:48178-8879
Mailing Address - Country:US
Mailing Address - Phone:989-413-9115
Mailing Address - Fax:
Practice Address - Street 1:9600 MARSHALL RD
Practice Address - Street 2:
Practice Address - City:SOUTH LYON
Practice Address - State:MI
Practice Address - Zip Code:48178-8879
Practice Address - Country:US
Practice Address - Phone:989-413-9115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty