Healthcare Provider Details

I. General information

NPI: 1326764895
Provider Name (Legal Business Name): INNER PEACE THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2022
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1906 FAIRMONT ST
LANSING MI
48911-7121
US

IV. Provider business mailing address

1906 FAIRMONT ST
LANSING MI
48911-7121
US

V. Phone/Fax

Practice location:
  • Phone: 517-899-0050
  • Fax: 877-316-0026
Mailing address:
  • Phone: 517-899-0050
  • Fax: 877-316-0026

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: KAYLA LEE COX
Title or Position: OWNER
Credential: LMSW
Phone: 517-899-0050