Healthcare Provider Details

I. General information

NPI: 1831014448
Provider Name (Legal Business Name): LOYS LEGACIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 W STATE ST
HASTINGS MI
49058-1853
US

IV. Provider business mailing address

PO BOX 533
NASHVILLE MI
49073-0533
US

V. Phone/Fax

Practice location:
  • Phone: 517-852-4022
  • Fax: 517-515-7446
Mailing address:
  • Phone: 517-852-4022
  • Fax: 517-515-7446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN LOY
Title or Position: OWNER/MASTERS CLINICIAN
Credential: LMSW
Phone: 517-852-4022