Lost Lake Healing
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Remus, MI
NPI 1104732155 · NPPES record last updated Aug 20, 2026
Key facts
- NPI
- 1104732155
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- LOST LAKE HEALING
- Practice address
- 13419 Swistier Dr
Remus, MI 49340-9381 - Phone
- (231) 408-7866
- NPI assigned
- Aug 20, 2026
- Organization subpart
- No
Authorized official
- Name
- McKenna Jo Nivison, LMSW
- Title
- Owner/Outpatient Therapist
- Phone
- (231) 408-7866
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
13419 Swistier Dr
Remus, MI 49340-9381
Mailing address
13419 Swistier Dr
Remus, MI 49340-9381
Phone (231) 408-7866
Other providers in Remus, MI
- Clinical Hospital Pharmacy Management, P.C.
- Shelby Kay Fox
- Jeffrey F Wilson OD PC
- Mary Kienitz
- Margaret'S Meadows, LLC
- Medics P.C.
- Summer Lynne Sellers
- Sisters of Sobriety
- Jenny Lorn Taylor
All providers in Remus, MI · Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.