Center for Peace and Holistic Healing, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801057321 Issued in MI

Legal business name

CENTER FOR PEACE AND HOLISTIC HEALING, LLC

Practice address

26657 W Carnegie Park Dr
Southfield, MI 48034-6161

Phone

(248) 703-3990

Fax

(248) 327-6943

NPI assigned

Jun 11, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Lillian O. Brown, LCSW, LMSW

Title

Owner

Phone

(248) 703-3990

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1689936270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26657 W CARNEGIE PARK DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480346161",
            "telephone_number": "248-703-3990",
            "fax_number": "248-327-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26657 W CARNEGIE PARK DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480346161",
            "telephone_number": "248-703-3990",
            "fax_number": "248-327-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PEACE AND HOLISTIC HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-703-3990",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801057321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MI 2757",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Southfield, MI
• Providers in Southfield, 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 11, 2012; 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.