Provider Demographics
NPI:1609436914
Name:EARLY CONNECTIONS INSTITUTE LLC
Entity Type:Organization
Organization Name:EARLY CONNECTIONS INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/ PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:JULIET
Authorized Official - Last Name:LAMING
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:810-845-2133
Mailing Address - Street 1:13149 10 MILE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH LYON
Mailing Address - State:MI
Mailing Address - Zip Code:48178-9114
Mailing Address - Country:US
Mailing Address - Phone:810-845-2133
Mailing Address - Fax:
Practice Address - Street 1:13149 10 MILE RD
Practice Address - Street 2:
Practice Address - City:SOUTH LYON
Practice Address - State:MI
Practice Address - Zip Code:48178-9114
Practice Address - Country:US
Practice Address - Phone:810-845-2133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty