Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Targeted Neurofeedback and Psychotherapy Services, PLLC

Organization Clinical Social Worker · NPI 1578999603

Targeted Neurofeedback and Psychotherapy Services, PLLC provides Clinical Social Worker services in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2013.

Licensed in
MI
In the registry since
2013
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

915 Airport Rd
Jackson, MI 49202-1850 Not confirmed with CMS for 11 years — call before visiting
Phone: (517) 740-6239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence E27191 (MI)

Record details

NPI number1578999603
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Mikelait — Owner · (517) 740-6239
NPI enumeratedSeptember 20, 2013
Last updated in NPPESOctober 1, 2015
Mailing address3008 S Wooddale Dr, Jackson, MI 49203-3767

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