Provider Demographics
NPI:1225644131
Name:SARATH PRIYA REDNAM-WALDO LMSW PLLC
Entity Type:Organization
Organization Name:SARATH PRIYA REDNAM-WALDO LMSW PLLC
Other - Org Name:HEALING HOME COUNSELING GROUP PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARATH
Authorized Official - Middle Name:P
Authorized Official - Last Name:REDNAM-WALDO
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:248-579-2772
Mailing Address - Street 1:31600 TELEGRAPH RD STE 120
Mailing Address - Street 2:
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4370
Mailing Address - Country:US
Mailing Address - Phone:248-579-2772
Mailing Address - Fax:
Practice Address - Street 1:31600 TELEGRAPH RD STE 120
Practice Address - Street 2:
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-4370
Practice Address - Country:US
Practice Address - Phone:314-805-4188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty