Healthcare Provider Details

I. General information

NPI: 1811814296
Provider Name (Legal Business Name): EMBER AND SAGE THERAPY COLLECTIVE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4572 S HAGADORN RD STE 2A
EAST LANSING MI
48823-5385
US

IV. Provider business mailing address

4572 S HAGADORN RD STE 2A
EAST LANSING MI
48823-5385
US

V. Phone/Fax

Practice location:
  • Phone: 616-340-5732
  • Fax:
Mailing address:
  • Phone: 616-340-5732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE VERTALKA
Title or Position: OWNER
Credential: LPC, CAADC, ACS
Phone: 616-340-5732