Organization Active NPI

MKL Co

Doing business as Arbor Center for Eating Recovery

  • Registered Dietitian
  • Ann Arbor, MI
National Provider Identifier
1104578368
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
MKL CO
Doing business as
Arbor Center for Eating Recovery
Practice address
2010 Hogback Rd Ste 6F
Ann Arbor, MI 48105-8800
Phone
(734) 887-6027
Fax
(248) 742-8088
NPI assigned
Jan 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mariah Lewis, RDNNPI 1093291171
Title
President/Owner
Phone
(734) 887-6027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

2010 Hogback Rd Ste 6F
Ann Arbor, MI 48105-8800

Mailing address

2010 Hogback Rd Ste 6F
Ann Arbor, MI 48105-8800
Phone (734) 887-6027

Other names 1

  • Arbor Center for Eating Recovery Doing business as

National Provider Directory

National Provider Directory

Locations

2010 Hogback Rd
Ste 6F
Ann Arbor, MI 48105
Phone (734) 686-4999

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1104578368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 HOGBACK RD STE 6F",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481058800",
            "telephone_number": "734-887-6027",
            "fax_number": "248-742-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 HOGBACK RD STE 6F",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481058800",
            "telephone_number": "734-887-6027",
            "fax_number": "248-742-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKL CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "734-887-6027",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor Center for Eating Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.