Healthcare Provider Details

I. General information

NPI: 1215810734
Provider Name (Legal Business Name): JAMES SVENSSON LMSW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2225 PACKARD ST STE 1
ANN ARBOR MI
48104-6320
US

IV. Provider business mailing address

2515 KIMBERLEY RD
ANN ARBOR MI
48104-6448
US

V. Phone/Fax

Practice location:
  • Phone: 810-295-1130
  • Fax:
Mailing address:
  • Phone: 734-604-7173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES SVANTE MAGNUS SVENSSON
Title or Position: OWNER
Credential: LMSW
Phone: 734-604-7173