Organization Name: | ELM ENTERPRISES, LLC |
NPI Number: | 1104222728 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH MOBERG (OWNER/THERAPIST) |
Mailing Address: | 1100 Ludington St Suite 301a Escanaba |
State: | MI US |
Postal Code: | 498293542 |
Phone Number: | 9062337477 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2014 |
NPI Last Update Date: | 11/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801087072 |
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 |