Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lost Lake Healing

Organization Clinical Social Worker · NPI 1104732155

Lost Lake Healing provides Clinical Social Worker services in Remus, Michigan. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

13419 Swistier Dr
Remus, MI 49340-9381
Phone: (231) 408-7866
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1104732155
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official McKenna Nivison — Owner/Outpatient Therapist · (231) 408-7866
NPI enumeratedAugust 20, 2026
Last updated in NPPESSeptember 19, 2026
Certification dateSeptember 19, 2026
Mailing address13419 Swistier Dr, Remus, MI 49340-9381