Provider Demographics
NPI:1609353531
Name:SEKAI K. WARD - THERAPY THAT FIST YOUR LIFESTYLE, PLLC
Entity Type:Organization
Organization Name:SEKAI K. WARD - THERAPY THAT FIST YOUR LIFESTYLE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEKAI
Authorized Official - Middle Name:K
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:734-678-7802
Mailing Address - Street 1:3221 LOCKRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-1721
Mailing Address - Country:US
Mailing Address - Phone:734-678-7802
Mailing Address - Fax:
Practice Address - Street 1:2217 PACKARD ST STE 16A
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-5702
Practice Address - Country:US
Practice Address - Phone:734-678-7802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010897321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty