Provider Demographics
NPI:1053907824
Name:GERMASH THERAPEUTIC SERVICES, LLC
Entity type:Organization
Organization Name:GERMASH THERAPEUTIC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GERMASH-NEUBERT
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:734-719-1081
Mailing Address - Street 1:7821 DETROIT BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-1024
Mailing Address - Country:US
Mailing Address - Phone:734-719-1081
Mailing Address - Fax:
Practice Address - Street 1:800 N OLD WOODWARD AVE STE 210
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-3802
Practice Address - Country:US
Practice Address - Phone:734-719-1081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-16
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty