Healthcare Provider Details

I. General information

NPI: 1770177461
Provider Name (Legal Business Name): THERAPY SERVICES OF EAST LANSING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2021
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 E GRAND RIVER AVE STE 100
EAST LANSING MI
48823-4958
US

IV. Provider business mailing address

1750 E GRAND RIVER AVE STE 100
EAST LANSING MI
48823-4958
US

V. Phone/Fax

Practice location:
  • Phone: 517-881-5456
  • Fax: 844-927-4501
Mailing address:
  • Phone: 517-295-3726
  • Fax: 844-927-4501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW ALEX REMES
Title or Position: CO-OWNER
Credential: LMSW
Phone: 517-881-5456