Provider Demographics
NPI:1780823435
Name:.P;STEPHEN O'NEILL, LMSW/PLLC
Entity Type:Organization
Organization Name:.P;STEPHEN O'NEILL, LMSW/PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:O'NEILL
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW/ACSW
Authorized Official - Phone:248-910-4636
Mailing Address - Street 1:300 E MAPLE RD
Mailing Address - Street 2:STE 340
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-6308
Mailing Address - Country:US
Mailing Address - Phone:248-910-4636
Mailing Address - Fax:248-848-9416
Practice Address - Street 1:300 E MAPLE RD
Practice Address - Street 2:STE 340
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-6308
Practice Address - Country:US
Practice Address - Phone:248-910-4636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-19
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010695531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty