Ghazi, Kamal Taymour
Ghazi, Kamal Taymour is an sole proprietor health care provider with primary practice located at 1200 N West Ave Lifeways, Jackson MI 49202. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Ghazi, Kamal Taymour can be contacted via phone (517) 789-1200.Contact Information
Primary practice address
1200 N West Ave Lifeways
Jackson MI 49202
Phone: (517) 789-1200
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / School | 101YS0200X | ||
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
NPI number | 1245908151 |
---|---|
LBN Legal business name | Ghazi, Kamal Taymour |
Credentials | LLMSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 3rd, 2021 |
Last updated | Mar 1st, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245908151 | NPPES |
Michigan | MEDICAID | $$$$$$$$$ |
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