Healthcare Provider Details

I. General information

NPI: 1285558619
Provider Name (Legal Business Name): THIS MILLENNIUM PSYCHOTHERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 W ALLEGAN ST STE A10234
LANSING MI
48901-5580
US

IV. Provider business mailing address

315 W ALLEGAN ST UNIT 10234
LANSING MI
48901-5510
US

V. Phone/Fax

Practice location:
  • Phone: 517-500-3821
  • Fax:
Mailing address:
  • Phone: 517-500-3821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: SHERRIE TERESE STEWART
Title or Position: THERAPIST
Credential: LIMITED LICENSED PSY
Phone: 517-662-7079