Provider Demographics
NPI:1134550965
Name:SAVAL, KATHY (LMSW, CAADC)
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:SAVAL
Suffix:
Gender:F
Credentials:LMSW, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24804 UPLAND HL
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-2677
Mailing Address - Country:US
Mailing Address - Phone:248-910-1828
Mailing Address - Fax:
Practice Address - Street 1:24804 UPLAND HL
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-2677
Practice Address - Country:US
Practice Address - Phone:248-910-1828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIC-00811101YA0400X
MI68010722011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)