Organization
AMY PARK-GOEDDEKE,LMSW, L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY PARK-GOEDDEKE LMSW (SOCIAL WORKER)
(248) 921-7649
Entity
Organization
Contact information
Practice address
1200 N TELEGRAPH RD DEPT 32, PONTIAC, MI 48341-1032
(248) 858-1210
Mailing address
13335 15 MILE RD # 258, STERLING HEIGHTS, MI 48312-4271
(248) 921-7649
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
02/20/2026
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