Healthcare Provider Details
I. General information
NPI: 1770177461
Provider Name (Legal Business Name): THERAPY SERVICES OF EAST LANSING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/24/2021
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
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
- Phone: 517-881-5456
- Fax: 844-927-4501
- Phone: 517-881-5456
- Fax: 844-927-4501
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MATTHEW
REMES
Title or Position: OWNER/MENTAL HEALTH THERAPIST
Credential: LMSW
Phone: 517-881-5456