Provider Demographics
NPI:1154884948
Name:OCD AND ANXIETY MICHIGAN, PLLC
Entity type:Organization
Organization Name:OCD AND ANXIETY MICHIGAN, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, CLINICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:OVERTON
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW-C, LCSW, LISW-C
Authorized Official - Phone:231-256-1167
Mailing Address - Street 1:PO BOX 482
Mailing Address - Street 2:
Mailing Address - City:EMPIRE
Mailing Address - State:MI
Mailing Address - Zip Code:49630-0482
Mailing Address - Country:US
Mailing Address - Phone:231-256-1167
Mailing Address - Fax:231-252-2147
Practice Address - Street 1:135 N OLD WOODWARD AVE STE 200
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-3341
Practice Address - Country:US
Practice Address - Phone:231-256-1167
Practice Address - Fax:231-525-2147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-09
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)