OrganizationActive
Great Lakes Teletherapy
NPI 1174139968 · Community/Behavioral Health Agency · Ann Arbor, MI
Great Lakes Teletherapy is a Community/Behavioral Health Agency organization in Ann Arbor, MI (NPI 1174139968).
Provider details
- NPI number
- 1174139968
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Leah Brock, Psychotherapist(734) 224-3773
Specialties & taxonomies
Agencies
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
707 W Liberty St
Ann Arbor, MI 48103-4348
Phone: (734) 224-3773
Street-level locationGet directions
Mailing address
707 W Liberty St
Ann Arbor, MI 48103-4348
Registry dates
- Enumerated
- 2020-09-17
- Last updated
- 2020-09-17
- Certified
- 2020-09-17
Frequently asked questions
- What is Great Lakes Teletherapy's NPI number?
- Great Lakes Teletherapy's National Provider Identifier (NPI) is 1174139968, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Teletherapy?
- Great Lakes Teletherapy is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Great Lakes Teletherapy located?
- Great Lakes Teletherapy's practice location on file with NPPES is 707 W Liberty St, Ann Arbor, MI 48103-4348.
- What is Great Lakes Teletherapy's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Teletherapy is (734) 224-3773.
- Who is the authorized official for Great Lakes Teletherapy?
- The authorized official listed on Great Lakes Teletherapy's NPPES record is Leah Brock, Psychotherapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Teletherapy's NPI active?
- Yes — Great Lakes Teletherapy's NPI (1174139968) is active in the NPPES registry as of the last update on 2020-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.