Provider Demographics
NPI:1518461532
Name:I AM-WELLNESS GROUP LLC
Entity Type:Organization
Organization Name:I AM-WELLNESS GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:STEENBERGH
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LMSW, CAADC
Authorized Official - Phone:586-215-6534
Mailing Address - Street 1:31185 WHITE OAK DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48047-5700
Mailing Address - Country:US
Mailing Address - Phone:586-215-6534
Mailing Address - Fax:
Practice Address - Street 1:51424 VAN DYKE AVE STE 23
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48316-4409
Practice Address - Country:US
Practice Address - Phone:586-215-6534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-23
Last Update Date:2018-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010985881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty