Provider Demographics
NPI:1023833670
Name:SKY IS THE LIMIT MENTAL HEALTH THERAPY
Entity type:Organization
Organization Name:SKY IS THE LIMIT MENTAL HEALTH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:LLP
Authorized Official - Phone:248-312-9873
Mailing Address - Street 1:391 MULBERRY DR
Mailing Address - Street 2:
Mailing Address - City:COMMERCE TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48390-3262
Mailing Address - Country:US
Mailing Address - Phone:248-312-9873
Mailing Address - Fax:
Practice Address - Street 1:391 MULBERRY DR
Practice Address - Street 2:
Practice Address - City:COMMERCE TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48390-3262
Practice Address - Country:US
Practice Address - Phone:248-312-9873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty