Provider Demographics
NPI:1538495361
Name:MANZA, STEVEN (LMSW, CADC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:MANZA
Suffix:
Gender:M
Credentials:LMSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9082 FREMONT ST
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-4008
Mailing Address - Country:US
Mailing Address - Phone:248-891-0998
Mailing Address - Fax:
Practice Address - Street 1:32540 SCHOOLCRAFT RD STE 120
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-4316
Practice Address - Country:US
Practice Address - Phone:248-891-0998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-29
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)