1. Home
  2. Directory
  3. Michigan
  4. Ann Arbor
  5. Community Behavioral Health
  6. NPI Profile

GREAT LAKES TELETHERAPY
NPI 1174139968
Community/Behavioral Health in Ann Arbor, MI

Active since September 17, 2020
707 W LIBERTY ST, ANN ARBOR, MI 48103(734) 224-3773 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Lakes Teletherapy NPPES

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

GREAT LAKES TELETHERAPY (NPI 1174139968) is a healthcare organization registered as a community/behavioral health in Ann Arbor, Michigan and active in the NPI registry since September 2020. The organization lists Leah R Brock, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1174139968
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameGREAT LAKES TELETHERAPY
Location Address707 W LIBERTY STAnn Arbor, MI 48103-4348
Mailing Address707 W Liberty StAnn Arbor, MI 48103-4348 · (734) 224-3773
Phone(734) 224-3773
Organization SubpartNo
Authorized OfficialLeah R BrockPsychotherapist · (734) 224-3773
Enumeration DateSeptember 17, 2020
NPPES CertifiedSeptember 17, 2020
✔ NPI 1174139968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
707 W LIBERTY ST, Ann Arbor, MI 48103
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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 Great Lakes Teletherapy's NPI number?

The NPI number for Great Lakes Teletherapy is 1174139968. It was assigned to this organization in the NPPES registry on September 17, 2020.

Where is Great Lakes Teletherapy located?

Great Lakes Teletherapy is located at 707 W Liberty St, Ann Arbor, MI 48103. The listed phone number is (734) 224-3773.

What is Great Lakes Teletherapy's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

What insurance does Great Lakes Teletherapy accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Great Lakes Teletherapy 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 Great Lakes Teletherapy was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.