Basic Information
| Provider Information | |||||||||
| NPI: | 1205554342 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HAPPINESS MATTERS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 21880 DAISY LN | ||||||||
| Address2: | |||||||||
| City: | SOUTHFIELD | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480333913 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2484625267 | ||||||||
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| Address1: | 21880 DAISY LN | ||||||||
| Address2: | |||||||||
| City: | SOUTHFIELD | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480333913 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2484625267 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/15/2022 | ||||||||
| LastUpdateDate: | 08/25/2022 | ||||||||
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| AuthorizedOfficialLastName: | GOODALL | ||||||||
| AuthorizedOfficialFirstName: | SANDRA | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 2484625267 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MS LLP | ||||||||
| NPICertificationDate: | 08/25/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.