Amy Park-Goeddeke,Lmsw, L.L.C

LBN: Amy Park-Goeddeke,Lmsw, L.L.C
Amy Park-Goeddeke,Lmsw, L.L.C is an health care organization with primary practice located at 12151 15 Mile Rd , Sterling Heights MI 48312-5120. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Amy Park-Goeddeke,Lmsw, L.L.C can be contacted via phone (248) 921-7649, or through Park-Goeddeke, Amy via phone (248) 921-7649.

Contact Information

Primary practice address
12151 15 Mile Rd Sterling Heights MI 48312-5120
Phone: (248) 921-7649
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Park-Goeddeke, Amy LMSW
Phone: (248) 921-7649

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1124681341
LBN Legal business name Amy Park-Goeddeke,Lmsw, L.L.C
DBA Doing business as
Authorized official Park-Goeddeke, Amy LMSW
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2019
Last updated Apr 15th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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