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Coreshift LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) in Lansing, MI. Organization (NPI-2).

NPI number1336932649
StatusActive
Last updated in NPPESMay 28, 2025

Details

NPI
1336932649
Entity type
Organization (NPI-2)
Legal business name
Coreshift LLC
Organization subpart
No
Enumeration date
May 28, 2025
Certification date
May 28, 2025
Last updated
May 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

2415 Devonshire Ave
Lansing, MI 48910-3548

Phone 517-803-0973

Mailing address

2415 Devonshire Ave
Lansing, MI 48910-3548

Authorized official

Jennifer Lynn Kanouse
Owner/Clinical Therapist
5178030973

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