Organization · NPI-2

Achad Therapy, LLC

Social Worker, Clinical · Lansing, MI

NPI number1063986396
StatusActive
Last updated in NPPESApr 11, 2023

Details

NPI
1063986396
Entity type
Organization (NPI-2)
Legal business name
Achad Therapy, LLC
Organization subpart
No
Enumeration date
Jan 21, 2019
Certification date
Apr 11, 2023
Last updated
Apr 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

306 S Creyts Rd
Lansing, MI 48917-8289

Phone 517-999-9004

Mailing address

306 S Creyts Rd
Lansing, MI 48917-8289

Phone 517-999-9004

Authorized official

Kaitlin Lauren Goodman
Business Owner
5179999004

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