Basic Information
| Provider Information | |||||||||
| NPI: | 1972093730 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BADY-ADAMS | ||||||||
| FirstName: | CATRINA | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | MA, LLPC | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | BADY | ||||||||
| OtherFirstName: | CATRINA | ||||||||
| OtherMiddleName: | R | ||||||||
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| OtherCredential: | MA, LLPC | ||||||||
| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1013 N RIVER RD | ||||||||
| Address2: | |||||||||
| City: | SAGINAW | ||||||||
| State: | MI | ||||||||
| PostalCode: | 486096833 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8959635589 | ||||||||
| FaxNumber: | 9894017509 | ||||||||
| Practice Location | |||||||||
| Address1: | 3410 OLD LANSING RD | ||||||||
| Address2: | |||||||||
| City: | LANSING | ||||||||
| State: | MI | ||||||||
| PostalCode: | 489174392 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5176572980 | ||||||||
| FaxNumber: | 5179935982 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/16/2018 | ||||||||
| LastUpdateDate: | 05/16/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | 6401007698 | MI | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No ID Information.