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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMY PARK-GOEDDEKE,LMSW, L.L.C

Active Organization

AMY PARK-GOEDDEKE,LMSW, L.L.C is a Mental Health Clinic organization located in PONTIAC, Michigan. NPI 1124681341 is currently active in the NPPES registry. Verify at CMS.

Mental Health Clinic · PONTIAC, MI

Registration Details

NPI Number
1124681341
Provider Type
Organization
NPI Issued
Apr 15, 2019 (7.3754908285639 yrs)
Last Updated
Feb 20, 2026

Practice Information

Address
1200 N TELEGRAPH RD DEPT 32
PONTIAC, MI, 483411032
Browse MI providers · Browse ZIP 48341
Phone
2488581210
Primary Specialty
Mental Health Clinic
261QM0801X

Other Mental Health Clinic Organizations in PONTIAC, MI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.