Basic Information
| Provider Information | |||||||||
| NPI: | 1679239610 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RMJ STRATEGIES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 110 TREALOUT DR STE 104 | ||||||||
| Address2: | |||||||||
| City: | FENTON | ||||||||
| State: | MI | ||||||||
| PostalCode: | 484303211 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8108778222 | ||||||||
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| Practice Location | |||||||||
| Address1: | 110 TREALOUT DR STE 104 | ||||||||
| Address2: | |||||||||
| City: | FENTON | ||||||||
| State: | MI | ||||||||
| PostalCode: | 484303211 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8108778222 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/15/2021 | ||||||||
| LastUpdateDate: | 11/15/2021 | ||||||||
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| AuthorizedOfficialLastName: | JOHNSON | ||||||||
| AuthorizedOfficialFirstName: | RACHEL | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 8108778222 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LMSW | ||||||||
| NPICertificationDate: | 11/15/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker | Clinical |
ID Information
| ID | Type | State | Issuer | Description | 00210 | 01 | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN | OTHER |