Agnew, Carol S

Agnew, Carol S is an sole proprietor health care provider with primary practice located at 42627 Garfield Rd Ste 217 , Clinton Township MI 48038-5032. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Agnew, Carol S can be contacted via phone (248) 210-5018.

Contact Information

Primary practice address
42627 Garfield Rd Ste 217 Clinton Township MI 48038-5032
Phone: (248) 210-5018
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4101006139 Michigan
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4101006139 Michigan

Profile Details

NPI number 1497868590
LBN Legal business name Agnew, Carol S
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2006
Last updated Jun 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497868590 NPPES
Other 12458685 CAQH

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