Provider Demographics
NPI:1235918699
Name:ALMARSOUMI, HYATT (LLMSW)
Entity Type:Individual
Prefix:
First Name:HYATT
Middle Name:
Last Name:ALMARSOUMI
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11761 GALLAGHER ST
Mailing Address - Street 2:
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212-4108
Mailing Address - Country:US
Mailing Address - Phone:313-818-8895
Mailing Address - Fax:
Practice Address - Street 1:11761 GALLAGHER ST
Practice Address - Street 2:
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-4108
Practice Address - Country:US
Practice Address - Phone:313-818-8895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511168281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical