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Organization
SAMARITAS LUTHERAN SOCIAL SERVICES OF MICHIGAN
Active
Organization
SAMARITAS LUTHERAN SOCIAL SERVICES OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGETTE ZAPPACOSTA (CFO)
(313) 308-2768
Entity
Organization
Contact information
Practice address
128 S COCHRAN AVE, CHARLOTTE, MI 48813-1510
(517) 325-9090
(517) 325-9091
Mailing address
8131 E JEFFERSON AVE, DETROIT, MI 48214-2610
(269) 345-5776
(269) 345-4011
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
NULL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
253J00000X
Foster Care Agency
CB390258392
MI
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Enumeration date
04/13/2012
Last updated
05/16/2025
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