Basic Information
Provider Information
NPI: 1376674101
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REHMANN
FirstName: KARI
MiddleName: MARIE
NamePrefix: MRS.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1607 WOODWIND TRAIL
Address2:  
City: HASLETT
State: MI
PostalCode: 488401632
CountryCode: US
TelephoneNumber: 5178970840
FaxNumber:  
Practice Location
Address1: 2535 E MOUNT HOPE AVE
Address2:  
City: LANSING
State: MI
PostalCode: 489101913
CountryCode: US
TelephoneNumber: 5178970840
FaxNumber: 5173722542
Other Information
ProviderEnumerationDate: 03/07/2007
LastUpdateDate: 10/06/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/05/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
106H00000XMFC 45647CAY Behavioral Health & Social Service ProvidersMarriage & Family Therapist 

No ID Information.


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