Provider Demographics
NPI:1952819104
Name:CAROL W BEGGS LMSW LLC
Entity Type:Organization
Organization Name:CAROL W BEGGS LMSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMSW / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:WILLIAMS
Authorized Official - Last Name:BEGGS
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:248-642-8697
Mailing Address - Street 1:31700 TELEGRAPH RD STE 252
Mailing Address - Street 2:
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-3414
Mailing Address - Country:US
Mailing Address - Phone:248-642-8697
Mailing Address - Fax:734-207-5326
Practice Address - Street 1:31700 TELEGRAPH RD STE 252
Practice Address - Street 2:
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-3414
Practice Address - Country:US
Practice Address - Phone:248-642-8697
Practice Address - Fax:734-207-5326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-22
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010914921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty