Provider Demographics
NPI:1902641715
Name:LIFTING AS I CLIMB, LLC
Entity type:Organization
Organization Name:LIFTING AS I CLIMB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CARRON
Authorized Official - Middle Name:
Authorized Official - Last Name:CALDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:313-690-5086
Mailing Address - Street 1:25901 W 10 MILE RD STE 128
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-2857
Mailing Address - Country:US
Mailing Address - Phone:313-690-5086
Mailing Address - Fax:
Practice Address - Street 1:25901 W 10 MILE RD STE 128
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-2857
Practice Address - Country:US
Practice Address - Phone:313-690-5086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-25
Last Update Date:2024-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty