# SAMARITAS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lutheran Social Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588292601
- **Authorized official:** ABIGAIL A PERRY MA, SST (VP OF QUALITY)
- **Authorized official phone:** (313) 410-7438

## Contact information

- **Practice address:** 923 S BEECHTREE ST STE 10, GRAND HAVEN, MI 49417-2306
- **Practice address phone:** (616) 516-9985
- **Mailing address:** 923 S BEECHTREE ST STE 10, GRAND HAVEN, MI 49417-2306
- **Mailing address phone:** (616) 516-9985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | NULL | — |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | — | — |
| 405300000X | Prevention Professional | — | NULL | — |
| 405300000X | Prevention Professional | — | — | — |

## Other

- **Enumeration date:** 04/01/2020
- **Last updated:** 04/01/2020