Path to Resilience LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801096561 Issued in MI

Legal business name

PATH TO RESILIENCE LLC

Practice address

2385 S Huron Pkwy Ste 2N
Ann Arbor, MI 48104-5127

Phone

(734) 646-1505

Fax

(734) 882-2861

NPI assigned

Nov 3, 2017

Last updated

Nov 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori Ann Bush, LMSWNPI 1639564909

Title

President/Owner

Phone

(734) 646-1505

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lori Ann Bush, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1639564909
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1659883379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 S HURON PKWY STE 2N",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045127",
            "telephone_number": "734-646-1505",
            "fax_number": "734-882-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 S HURON PKWY STE 2N",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045127",
            "telephone_number": "734-646-1505",
            "fax_number": "734-882-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH TO RESILIENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "734-646-1505",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twisha Patel
• Vandan Dilip Patel, MD
• Vishal Patel
• Kirby Nicole Paterson, LGSW
• Jenny S Pateryn, P.A.-C
• Patient First Testing Inc
• Rati Patni, PT DPT
• Patricia E Ryan MD PLC
• Savahanna Patrick, LLBSW
• Elissa Helen Patterson, PHD

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, 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 Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.