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

Lake's Edge Therapy Services LLC

Organization Clinical Social Worker · NPI 1164205159

Lake's Edge Therapy Services LLC is a Clinical Social Worker in Grand Haven, Michigan. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

212 1/2 Washington Ave Ste 3
Grand Haven, MI 49417-3316
Phone: (616) 419-8591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1164205159
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Catherine Kolacz — Owner · (616) 502-4586
NPI enumeratedAugust 15, 2023
Last updated in NPPESAugust 26, 2023
Certification dateAugust 26, 2023
Mailing address59 N Division Ave, Holland, MI 49424-6456

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