Basic Information
| Provider Information | |||||||||
| NPI: | 1528130390 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LAMMIVAARA | ||||||||
| FirstName: | SARI | ||||||||
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| Credential: | LMSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2527 S 11TH ST STE 2 | ||||||||
| Address2: | |||||||||
| City: | NILES | ||||||||
| State: | MI | ||||||||
| PostalCode: | 491204747 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2692621815 | ||||||||
| FaxNumber: | 2693972093 | ||||||||
| Practice Location | |||||||||
| Address1: | 2527 S 11TH ST STE 2 | ||||||||
| Address2: | |||||||||
| City: | NILES | ||||||||
| State: | MI | ||||||||
| PostalCode: | 491204747 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8553014693 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/15/2006 | ||||||||
| LastUpdateDate: | 08/29/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 6801093282 | MI | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.