Provider Demographics
NPI:1629572516
Name:STEENBERGH & STEENBERGH LLC
Entity Type:Organization
Organization Name:STEENBERGH & STEENBERGH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BRANDEE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:STEENBERGH
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LMSW
Authorized Official - Phone:248-824-0014
Mailing Address - Street 1:3350 MINERVA ST
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48220-3600
Mailing Address - Country:US
Mailing Address - Phone:248-824-0014
Mailing Address - Fax:
Practice Address - Street 1:51424 VAN DYKE AVE STE 31
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:248-824-0014
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
MI68010869261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty