Basic Information
| Provider Information | |||||||||
| NPI: | 1952819104 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CAROL W BEGGS LMSW LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 31700 TELEGRAPH RD STE 252 | ||||||||
| Address2: | |||||||||
| City: | BINGHAM FARMS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480253414 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2486428697 | ||||||||
| FaxNumber: | 7342075326 | ||||||||
| Practice Location | |||||||||
| Address1: | 31700 TELEGRAPH RD STE 252 | ||||||||
| Address2: | |||||||||
| City: | BINGHAM FARMS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480253414 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2486428697 | ||||||||
| FaxNumber: | 7342075326 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/22/2018 | ||||||||
| LastUpdateDate: | 01/22/2018 | ||||||||
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| AuthorizedOfficialLastName: | BEGGS | ||||||||
| AuthorizedOfficialFirstName: | CAROL | ||||||||
| AuthorizedOfficialMiddleName: | WILLIAMS | ||||||||
| AuthorizedOfficialTitleorPosition: | LMSW / OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2486428697 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LMSW | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 6801091492 | MI | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.