OrganizationActive
Amy Park-Goeddeke,lmsw, L.L.C
NPI 1124681341 · Mental Health Clinic/Center (Including Community Mental Health Center) · Pontiac, MI
Provider details
- NPI number
- 1124681341
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amy Park-Goeddeke, Social Worker(248) 921-7649
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1200 N Telegraph Rd Dept 32
Pontiac, MI 48341-1032
Phone: (248) 858-1210
Approximate (ZIP-level) locationGet directions
Mailing address
13335 15 Mile Rd # 258
Sterling Heights, MI 48312-4271
Registry dates
- Enumerated
- 2019-04-15
- Last updated
- 2026-02-20
- Certified
- 2026-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.