LAKE'S EDGE THERAPY SERVICES LLC
NPI 1164205159
Social Worker - Clinical in Grand Haven, MI

Active since August 15, 2023
212 1/2 WASHINGTON AVE STE 3, GRAND HAVEN, MI 49417(616) 419-8591 Get Directions Write a Review

NPPES record last updated: August 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 26, 2023, Aug 15, 2023 (2 updates tracked since 2023).

About Lake's Edge Therapy Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE'S EDGE THERAPY SERVICES LLC (NPI 1164205159) is a healthcare organization registered as a clinical in Grand Haven, Michigan and active in the NPI registry since August 2023. The organization lists Catherine Anne Kolacz, Owner, as its authorized official.

NPPES Registry Identity

NPI1164205159
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLAKE'S EDGE THERAPY SERVICES LLC
Location Address212 1/2 WASHINGTON AVE STE 3Grand Haven, MI 49417-3316
Mailing Address59 N Division AveHolland, MI 49424-6456 · (616) 502-4586
Organization SubpartNo
Authorized OfficialCatherine Anne KolaczOwner · (616) 502-4586
Enumeration DateAugust 15, 2023
Last NPPES UpdateAugust 26, 20232 updates tracked since enumeration
NPPES CertifiedAugust 26, 2023
NPI 1164205159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

212 1/2 WASHINGTON AVE STE 3, Grand Haven, MI 49417

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
212 1/2 WASHINGTON AVE STE 3
GRAND HAVEN, MI 49417

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake's Edge Therapy Services LLC's NPI number?

The NPI number for Lake's Edge Therapy Services LLC is 1164205159. It was assigned to this organization in the NPPES registry on August 15, 2023.

Where is Lake's Edge Therapy Services LLC located?

Lake's Edge Therapy Services LLC is located at 212 1/2 Washington Ave Ste 3, Grand Haven, MI 49417. The listed phone number is (616) 419-8591.

What is Lake's Edge Therapy Services LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Lake's Edge Therapy Services LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lake's Edge Therapy Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake's Edge Therapy Services LLC was last updated on August 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.