Provider Demographics
NPI:1497970172
Name:TELKA AREND-RITTER PC
Entity Type:Organization
Organization Name:TELKA AREND-RITTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TELKA
Authorized Official - Middle Name:
Authorized Official - Last Name:AREND-RITTER
Authorized Official - Suffix:
Authorized Official - Credentials:ACSW
Authorized Official - Phone:517-332-9310
Mailing Address - Street 1:1151 MICHIGAN AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-4070
Mailing Address - Country:US
Mailing Address - Phone:517-332-9310
Mailing Address - Fax:517-332-9410
Practice Address - Street 1:1151 MICHIGAN AVE STE 110
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-4070
Practice Address - Country:US
Practice Address - Phone:517-332-9310
Practice Address - Fax:517-332-9410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801020700104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1013066067OtherNPI