Provider Demographics
NPI:1386492213
Name:GOOD GRIEF THERAPY, PLLC
Entity type:Organization
Organization Name:GOOD GRIEF THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:OCONNOR-PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:248-877-7732
Mailing Address - Street 1:2825 LINWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-3022
Mailing Address - Country:US
Mailing Address - Phone:248-877-7732
Mailing Address - Fax:
Practice Address - Street 1:2825 LINWOOD AVE
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-3022
Practice Address - Country:US
Practice Address - Phone:248-877-7732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty