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LANDMARK THERAPY LLC NPI 1225520133


NPI Information

NPI: 1225520133
Provider Name: LANDMARK THERAPY LLC
Classification: Social Worker - 104100000X
Entity Type: Organization

CLIA Number: 23D2236430

Address:
28330 FRANKLIN RIVER DR
SOUTHFIELD, MI
ZIP 48034
Phone: (810) 875-9186
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LANDMARK THERAPY LLC is a social worker in Southfield, MI. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. LANDMARK THERAPY LLC NPI is 1225520133. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

28330 FRANKLIN RIVER DR
SOUTHFIELD, MI
ZIP 48034-479
Phone: (810) 875-9186

The provider's authorized official is James Council Wickersham .
The authorized official title is Clinical Director and has the following contact phone number (248) 931-0016.

The CLIA number assigned to this NPI record is 23D2236430 - other - mobile physician group with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2018 and was last updated on 6/6/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2104100000XSocial WorkerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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