institution
Amy Park-goeddeke,lmsw, L.l.c
Mental Health Clinic/Center (Including Community Mental Health Center) in Sterling Heights, Michigan
NPI 1124681341

Amy Park-goeddeke,lmsw, L.l.c is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Sterling Heights, MI and is specialized in Mental Health (Including Community Mental Health Center). Amy Park-goeddeke,lmsw, L.l.c practices in Sterling Heights, MI. The NPI Number for Amy Park-goeddeke,lmsw, L.l.c is 1124681341 and holds a License No. (Michigan).

The current practice location address for Amy Park-goeddeke,lmsw, L.l.c is 12151 15 Mile Rd, Sterling Heights, MI and can be reached out via phone at 248-921-7649.

Location: 12151 15 Mile Rd, Sterling Heights, MI, 48312-4271
institution
Provider Profile Details
NPI Number
1124681341
Provider Name
Amy Park-goeddeke,lmsw, L.l.c
Credential
Provider Entity Type
Organization
Address
12151 15 Mile Rd, Sterling Heights, MI, 48312-4271
Phone Number
248-921-7649
Fax Number
Provider Enumeration Date
04/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12151 15 Mile Rd
City
State
Zip
48312-5120
Phone Number
248-921-7649
Fax Number
person
Provider Business Mailing Address Details
Address
12151 15 Mile Rd
City
State
Zip
48312-5120
Phone Number
248-921-7649
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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