Active NPI
MKL Co
Doing business as Arbor Center for Eating Recovery
- Registered Dietitian
- Ann Arbor, MI
National Provider Identifier
1104578368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mariah Lewis, RDN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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
National Provider Directory
National Provider DirectoryLocations
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.