SAMARITAS LUTHERAN SOCIAL SERVICES OF MICHIGAN NPI 1972860005

NPI Information

NPI: 1972860005
Provider Name: SAMARITAS LUTHERAN SOCIAL SERVICES OF MICHIGAN
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
128 S COCHRAN AVE
CHARLOTTE, MI
ZIP 48813
Phone: (517) 325-9090
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SAMARITAS LUTHERAN SOCIAL SERVICES OF MICHIGAN is an addiction (substance use disorder) counselor in Charlotte, MI. SAMARITAS LUTHERAN SOCIAL SERVICES OF MICHIGAN NPI is 1972860005. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

128 S COCHRAN AVE
CHARLOTTE, MI
ZIP 48813-510
Phone: (517) 325-9090
Fax: (517) 325-9091

The provider's authorized official is Jenny Cederstrom .
The authorized official title is Cfo and has the following contact phone number (313) 308-2764.

The enumeration date for this NPI number is 4/13/2012 and was last updated on 3/1/2021.

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
1	103TA0400X	Psychologist	Addiction (Substance Use Disorder)			No
2	104100000X	Social Worker				No
3	2084A0401X	Psychiatry & Neurology	Addiction Medicine			No
4	251S00000X	Community/Behavioral Health				No
5	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes
6	261QM1300X	Clinic/Center	Multi-Specialty			No
7	253J00000X	Foster Care Agency		CB390258392	MICHIGAN	No

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

NPI Synchronization or Removal

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