| Organization Name: | STARTUP CENTER FOR INNER PEACE, PLLC |
| NPI Number: | 1073852943 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN L STARTUP (OWNER/THERAPIST) |
| Mailing Address: | 6560 Red Arrow Hwy Coloma |
| State: | MI US |
| Postal Code: | 490388700 |
| Phone Number: | 2694876337 |
| Fax Number: | 2694683312 |
| NPI Enumeration Date: | 02/12/2013 |
| NPI Last Update Date: | 02/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801087797 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |