Organization Name: | SOCIAL PHYSICS, PLLC |
NPI Number: | 1427118215 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDREA LAVIGNE (OWNER) |
Mailing Address: | 725 S Adams Rd Suite L 134 Birmingham |
State: | MI US |
Postal Code: | 480096902 |
Phone Number: | 3133002518 |
Fax Number: | 2484333384 |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 02/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |