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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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 1245908151 NPPES
Michigan MEDICAID $$$$$$$$$

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