By Moonlight and Tide Psychotherapy PLLC
By Moonlight and Tide Psychotherapy PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Okemos, Michigan. Works from 2 locations. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2222 W Grand River Ave Ste AOkemos, MI 48864-1604
Phone: (248) 266-0625
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 740 Kimberly Apt 302, Lake Orion, MI 48362-2963 — (248) 266-0625
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1912798174 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cassiann Procenko — Clinical Director · (320) 310-8895 |
| NPI enumerated | May 15, 2025 |
| Last updated in NPPES | May 15, 2025 |
| Certification date | May 15, 2025 |
| Mailing address | 740 Kimberly Apt 302, Lake Orion, MI 48362-2963 |
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