Provider Demographics
NPI:1770177461
Name:THERAPY SERVICES OF EAST LANSING
Entity type:Organization
Organization Name:THERAPY SERVICES OF EAST LANSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MENTAL HEALTH THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:REMES
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:517-881-5456
Mailing Address - Street 1:PO BOX 1102
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48826-1102
Mailing Address - Country:US
Mailing Address - Phone:517-881-5456
Mailing Address - Fax:
Practice Address - Street 1:865 LONGFELLOW DR
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-2443
Practice Address - Country:US
Practice Address - Phone:517-881-5456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty