Provider Demographics
NPI:1417024720
Name:GARWOOD ASSOCIATES L L C
Entity Type:Organization
Organization Name:GARWOOD ASSOCIATES L L C
Other - Org Name:GARWOOD & ASSOCIATES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:GARWOOD
Authorized Official - Suffix:JR
Authorized Official - Credentials:MSW LMSW
Authorized Official - Phone:248-625-3123
Mailing Address - Street 1:9340 DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48348-4215
Mailing Address - Country:US
Mailing Address - Phone:248-625-3123
Mailing Address - Fax:248-625-2300
Practice Address - Street 1:9340 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48348-4215
Practice Address - Country:US
Practice Address - Phone:248-625-3123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010032121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty