Organization Active NPI

Molly Rae Resilience Counseling LLC

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1932983780
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MOLLY RAE RESILIENCE COUNSELING LLC
Practice address
2565 W Ellsworth Rd
Ann Arbor, MI 48108-9639
Phone
(414) 412-3839
NPI assigned
Aug 22, 2023
Last updated
Aug 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Molly Anderson, LMSW
Title
Owner
Phone
(810) 835-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2565 W Ellsworth Rd
Ann Arbor, MI 48108-9639

Mailing address

516 Charles St
Ypsilanti, MI 48198-3811
Phone (414) 412-3839

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1932983780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 CHARLES ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481983811",
            "telephone_number": "414-412-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 W ELLSWORTH RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089639",
            "telephone_number": "414-412-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLLY RAE RESILIENCE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-835-1555",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2023; 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.