Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Teletherapy

Organization Community/Behavioral Health Agency · NPI 1174139968

Great Lakes Teletherapy is a Community/Behavioral Health Agency in Ann Arbor, Michigan. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

707 W Liberty St
Ann Arbor, MI 48103-4348
Phone: (734) 224-3773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1174139968
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leah Brock — Psychotherapist · (734) 224-3773
NPI enumeratedSeptember 17, 2020
Last updated in NPPESSeptember 17, 2020
Certification dateSeptember 17, 2020
Mailing address707 W Liberty St, Ann Arbor, MI 48103-4348

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