Active NPI
Living in Abundance
- Clinical Social Worker
- Redford, MI
National Provider Identifier
1356951263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LIVING IN ABUNDANCE
- Practice address
- 24801 5 Mile Rd Ste 21
Redford, MI 48239-3654 - Phone
- (248) 819-0553
- NPI assigned
- Aug 5, 2020
- 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
- Ms. Lia M Hollis, LCSW
- Title
- Executive Director
- Phone
- (248) 252-9306
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
24801 5 Mile Rd Ste 21
Redford, MI 48239-3654
Mailing address
PO Box 47883
Oak Park, MI 48237-5583
Phone (248) 252-9306
National Provider Directory
National Provider DirectoryLocations
24801 5 Mile Rd
Ste 21
Redford, MI 48239
Phone (248) 819-0553
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Southfield, MI
- NPI 1699024851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596585600000",
"number": "1356951263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 47883",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482375583",
"telephone_number": "248-252-9306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24801 5 MILE RD STE 21",
"city": "REDFORD",
"state": "MI",
"postal_code": "482393654",
"telephone_number": "248-819-0553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING IN ABUNDANCE",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-05",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A",
"authorized_official_last_name": "HOLLIS",
"authorized_official_first_name": "LIA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "248-252-9306",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.