Provider Demographics
NPI:1104483262
Name:SARTEN, LOUIS JANES (LLMSW)
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:JANES
Last Name:SARTEN
Suffix:
Gender:M
Credentials:LLMSW
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:JANE
Other - Last Name:SARTEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CTRS
Mailing Address - Street 1:48578 PONTIAC TRL
Mailing Address - Street 2:
Mailing Address - City:WIXOM
Mailing Address - State:MI
Mailing Address - Zip Code:48393-2554
Mailing Address - Country:US
Mailing Address - Phone:248-669-5263
Mailing Address - Fax:
Practice Address - Street 1:48578 PONTIAC TRL
Practice Address - Street 2:
Practice Address - City:WIXOM
Practice Address - State:MI
Practice Address - Zip Code:48393-2554
Practice Address - Country:US
Practice Address - Phone:248-669-5263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-23
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI225800000X
MI68511179751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist