Provider Demographics
NPI:1396534806
Name:ANNE-MARIE ILGEN LMSW LLC
Entity type:Organization
Organization Name:ANNE-MARIE ILGEN LMSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE-MARIE
Authorized Official - Middle Name:MORISKY
Authorized Official - Last Name:ILGEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:734-660-1783
Mailing Address - Street 1:2532 BUNKER HILL RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-3431
Mailing Address - Country:US
Mailing Address - Phone:734-660-1783
Mailing Address - Fax:
Practice Address - Street 1:2532 BUNKER HILL RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-3431
Practice Address - Country:US
Practice Address - Phone:734-660-1783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health