Labyrinth PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LABYRINTH PLLC

Practice address

22328 Trombly St
Saint Clair Shores, MI 48080-1362

Phone

(313) 618-9762

NPI assigned

Jun 20, 2022

Organization subpart

No

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

Authorized official

Name

Derrick James Miller, LMSW

Title

Owner

Phone

(313) 618-9762

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1215668488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22328 TROMBLY ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801362",
            "telephone_number": "313-618-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22328 TROMBLY ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801362",
            "telephone_number": "313-618-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABYRINTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-618-9762",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muralidharan Kurup, PHARMD
• Jennifer Kuzel, MD
• Kami Michele Kveton, M.D.
• Evan Christopher Kvintus
• Kailey Kyles
• Abbie Lin Laforest, LLMSW
• Christopher E Lai, M.D.
• Maria R Lai, MALLP,LCSW
• Lakepointe Orthodontics PLLC
• Lakeshore Ear Nose and Throat Center PC

• Clinical Social Worker in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.