Provider Demographics
NPI:1336804434
Name:STRONGER TOGETHER LICENSED CLINICAL SOCIAL WORKER GROUP, INC.
Entity Type:Organization
Organization Name:STRONGER TOGETHER LICENSED CLINICAL SOCIAL WORKER GROUP, INC.
Other - Org Name:STRONGER TOGETHER COUNSELING AND WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:F
Authorized Official - Last Name:OWEKA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:916-741-9915
Mailing Address - Street 1:9146 E STOCKTON BLVD # 1039
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-9510
Mailing Address - Country:US
Mailing Address - Phone:916-870-8686
Mailing Address - Fax:
Practice Address - Street 1:7801 FOLSOM BLVD STE 208
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95826-2620
Practice Address - Country:US
Practice Address - Phone:916-870-8586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-03
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)